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NPI 1457486359

NPI 1457486359 : STEVEN G LYNCH DC : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1457486359
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN G LYNCH DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    03/02/2020
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Provider Practice Location Address
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    Address Line         |    1801 S ALVERNON WAY STE 107 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85711-5692
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    Country              |    US
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    Telephone            |    520-790-1250
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    Fax                  |    520-790-3477
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Provider Business Mailing Address
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    Address Line         |    5115 N DYSART RD STE 202 # 611 
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    City                 |    LITCHFIELD PARK
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    State                |    AZ
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    Zip                  |    85340-3036
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    Country              |    US
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    Telephone            |    602-503-2400
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    Fax                  |    480-539-4685
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    5870
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    5870
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    License Number State |    AZ
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