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General NPI Number Information
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NPI Number | 1366581712
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Entity Type | Individual
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Provider Name | LYNN M ANDERSON DC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15 WOODBINE STREET
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City | TORRINGTON
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State | CT
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Zip | 06790
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Country | US
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Telephone | 860-626-0080
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Fax | 860-201-0023
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Provider Business Mailing Address
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Address Line | PO BOX 266 15 WOODBINE STREET
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City | TORRINGTON
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State | CT
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Zip | 06790
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Country | US
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Telephone | 860-626-0080
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Fax | 860-201-0023
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 001142
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License Number State | CT
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