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General NPI Number Information
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NPI Number | 1598054876
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Entity Type | Organization
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Legal Business Name | LYNN J. PIPER, PH.D., PLLC
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 7019 BACKLICK CT
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3903
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Country | US
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Telephone | 703-424-0384
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Fax | 703-562-8396
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Provider Business Mailing Address
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Address Line | 7019 BACKLICK CT
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City | SPRINGFIELD
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State | VA
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Zip | 22151-3903
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Country | US
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Telephone | 703-424-0384
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Fax | 703-562-8396
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. LYNN J PIPER
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Credential | PH.D., LCP
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Telephone | 703-424-0384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 08100003865
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License Number State | VA
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