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General NPI Number Information
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NPI Number | 1417088345
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Entity Type | Organization
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Legal Business Name | JAMES E LYNN
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 102 MAIN ST
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City | SMITHFIELD
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State | PA
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Zip | 15478-8900
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Country | US
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Telephone | 724-569-5280
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Fax | 724-569-1440
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Provider Business Mailing Address
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Address Line | PO BOX 902
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City | SMITHFIELD
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State | PA
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Zip | 15478-0902
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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 | OWNER
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Name | JAMES LYNN
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Credential |
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Telephone | 724-569-5280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP410955L
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License Number State | PA
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