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General NPI Number Information
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NPI Number | 1558186908
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Entity Type | Individual
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Provider Name | LYN HAJJAR
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 33 WALKER RD STE 2
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-1900
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Country | US
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Telephone | 978-688-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 460 HARRISON AVE UNIT 227
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City | BOSTON
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State | MA
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Zip | 02118-2874
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Country | US
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Telephone | 617-818-3495
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN10001082
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License Number State | MA
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