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General NPI Number Information
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NPI Number | 1548818685
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Entity Type | Individual
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Provider Name | MARJORIE LYNCH LPC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2019
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 71 DEVONSHIRE DR
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City | CHARLES TOWN
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State | WV
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Zip | 25414-2550
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Country | US
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Telephone | 661-609-3217
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Fax |
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Provider Business Mailing Address
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Address Line | 213 W JOHN ST
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City | MARTINSBURG
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State | WV
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Zip | 25401-3221
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Country | US
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Telephone | 304-263-0345
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Fax | 304-263-0367
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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 | 2313
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License Number State | WV
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