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General NPI Number Information
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NPI Number | 1467969105
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Entity Type | Individual
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Provider Name | LYNSEY MARIE PREISNER
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Gender | Female
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 8262 ATLEE ROAD SUITE 202
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City | MECHANICSVILLE
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State | VA
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Zip | 23116
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Country | US
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Telephone | 804-559-6194
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Fax | 804-559-4485
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Provider Business Mailing Address
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Address Line | 107 WADSWORTH DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236
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Country | US
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Telephone | 804-330-4901
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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