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General NPI Number Information
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NPI Number | 1467736272
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Entity Type | Individual
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Provider Name | LYNN M OBORSKI M.S., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 2910 STATE ST
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City | ERIE
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State | PA
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Zip | 16508-1832
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Country | US
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Telephone | 814-878-3431
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Fax |
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Provider Business Mailing Address
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Address Line | 2622 BIRD DR
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City | ERIE
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State | PA
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Zip | 16510-2720
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Country | US
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Telephone | 814-881-7105
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC006041
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License Number State | PA
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