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General NPI Number Information
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NPI Number | 1366622151
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Entity Type | Individual
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Provider Name | LYN EVELYN MURICE CLAWSON PHD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1103 SW 2ND AVE RM 3
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City | GAINESVILLE
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State | FL
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Zip | 32601-6116
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Country | US
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Telephone | 352-359-0340
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Fax | 352-378-0028
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Provider Business Mailing Address
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Address Line | PO BOX 12966
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City | GAINESVILLE
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State | FL
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Zip | 32604
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Country | US
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Telephone | 352-359-0340
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Fax | 352-264-3292
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH1357
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License Number State | FL
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