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NPI 1548679426

NPI 1548679426 : ANN M LYNARD SLP : MONTGOMERY, OH

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General NPI Number Information
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    NPI Number           |    1548679426
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    Entity Type          |    Individual 
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    Provider Name        |    ANN M LYNARD SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2014
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    Last Update Date     |    08/05/2014
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Provider Practice Location Address
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    Address Line         |    9840 MONTGOMERY RD 
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    City                 |    MONTGOMERY
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    State                |    OH
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    Zip                  |    45242-6255
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    Country              |    US
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    Telephone            |    513-247-1300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7493 TRAILWIND DR 
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    City                 |    MONTGOMERY
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    State                |    OH
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    Zip                  |    45242-5932
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    Country              |    US
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    Telephone            |    513-871-4901
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    6880
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    License Number State |    OH
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