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NPI 1578555124

NPI 1578555124 : THOMAS LYNCH CRNA : LEWISTOWN, PA

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General NPI Number Information
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    NPI Number           |    1578555124
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS LYNCH CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/19/2005
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    Last Update Date     |    11/06/2007
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Provider Practice Location Address
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    Address Line         |    400 HIGHLAND AVE LEWISTOWN HOSPITAL
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    City                 |    LEWISTOWN
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    State                |    PA
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    Zip                  |    17044-1167
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    Country              |    US
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    Telephone            |    717-248-5411
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    43 KENSICO DR 2ND FLOOR
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    City                 |    MOUNT KISCO
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    State                |    NY
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    Zip                  |    10549-1009
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    Country              |    US
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    Telephone            |    914-666-8866
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    Fax                  |    914-666-6777
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    RN193706
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    License Number State |    PA
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