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General NPI Number Information
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NPI Number | 1407413313
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Entity Type | Individual
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Provider Name | LYNDE ROSS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2019
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Last Update Date | 05/26/2019
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Provider Practice Location Address
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Address Line | 357 RIVERSIDE DR STE 235
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City | FRANKLIN
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State | TN
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Zip | 37064-8993
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Country | US
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Telephone | 512-590-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 BRISBANE DR
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City | SPRING HILL
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State | TN
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Zip | 37174-8577
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Country | US
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Telephone | 512-590-5006
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7034
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License Number State | TN
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