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NPI 1588770788

NPI 1588770788 : LYNNE M SENTY DO : MASON CITY, IA

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General NPI Number Information
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    NPI Number           |    1588770788
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    Entity Type          |    Individual 
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    Provider Name        |    LYNNE M SENTY DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/21/2006
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    Last Update Date     |    11/27/2023
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Provider Practice Location Address
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    Address Line         |    1631 4TH ST SW STE 114A 
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    City                 |    MASON CITY
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    State                |    IA
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    Zip                  |    50401-1649
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    Country              |    US
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    Telephone            |    641-428-2506
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    621 S ILLINOIS AVE SUITE 103
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    City                 |    MASON CITY
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    State                |    IA
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    Zip                  |    50401-5489
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    Country              |    US
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    Telephone            |    641-494-3041
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    Fax                  |    641-494-3059
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    02466
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    License Number State |    IA
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