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General NPI Number Information
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NPI Number | 1396288312
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Entity Type | Individual
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Provider Name | EMILY CATHERINE GREEN FLYNN LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 460 LANGDON ST
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City | SPARTANBURG
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State | SC
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Zip | 29302-1614
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Country | US
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Telephone | 864-582-2411
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Fax | 864-582-7178
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Provider Business Mailing Address
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Address Line | PO BOX 5158
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City | SPARTANBURG
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State | SC
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Zip | 29304-5158
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Country | US
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Telephone | 864-594-9459
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Fax | 864-241-8189
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 8150
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 8150
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 8113
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License Number State | SC
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