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General NPI Number Information
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NPI Number | 1568982593
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Entity Type | Individual
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Provider Name | ALYSSA LOUISE LYNCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 4100 VOLTAIRE ST UNIT 210
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City | SAN DIEGO
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State | CA
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Zip | 92107-1876
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Country | US
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Telephone | 703-517-9072
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 VOLTAIRE ST UNIT 210
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City | SAN DIEGO
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State | CA
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Zip | 92107-1876
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Country | US
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Telephone | 703-517-9072
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200001246
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License Number State | DC
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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 | LCSW94330
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW022068
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904009961
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License Number State | VA
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