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General NPI Number Information
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NPI Number | 1376957670
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Entity Type | Individual
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Provider Name | STEPHANIE LYNCH
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Gender | Female
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 3515 RAYFORD RD STE 100
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City | SPRING
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State | TX
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Zip | 77386-4364
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Country | US
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Telephone | 281-350-7040
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Fax | 281-350-1636
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Provider Business Mailing Address
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Address Line | 3515 RAYFORD RD STE 100
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City | SPRING
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State | TX
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Zip | 77386-4364
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R4268
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License Number State | TX
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