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General NPI Number Information
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NPI Number | 1568899706
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Entity Type | Individual
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Provider Name | LEKESHIA MILTANETTE LYNCH LCSW-A
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 140 CABARRUS AVE W
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City | CONCORD
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State | NC
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Zip | 28025-5150
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Country | US
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Telephone | 704-918-5494
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Fax |
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Provider Business Mailing Address
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Address Line | 4311 SCHOOL HOUSE CMNS # 140
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City | HARRISBURG
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State | NC
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Zip | 28075-7510
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Country | US
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Telephone | 704-699-9375
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C011079
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License Number State | NC
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