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General NPI Number Information
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NPI Number | 1366407850
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Entity Type | Individual
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Provider Name | LYNNE ELLEN BRYAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 3292 STATE ROUTE 257
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City | SENECA
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State | PA
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Zip | 16346
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Country | US
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Telephone | 814-676-1811
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Fax | 814-677-3091
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Provider Business Mailing Address
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Address Line | PO BOX 409 3292 STATE ROUTE 257
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City | SENECA
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State | PA
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Zip | 16346
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Country | US
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Telephone | 814-676-1811
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Fax | 814-677-3091
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | VP002027G
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License Number State | PA
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