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General NPI Number Information
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NPI Number | 1598154973
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Entity Type | Organization
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Legal Business Name | JAMES LYNCH FAMILY NURSE PRACTITIONER PLLC
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 1779 STATE ROUTE 21
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City | SHORTSVILLE
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State | NY
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Zip | 14548
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Country | US
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Telephone | 585-289-9282
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Fax | 585-289-2074
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Provider Business Mailing Address
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Address Line | 1779 STATE ROUTE 21
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City | SHORTSVILLE
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State | NY
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Zip | 14548-9718
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Country | US
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Telephone | 585-289-9282
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Fax | 585-289-2704
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Authorized Official
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Title or Position | OWNER
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Name | JAMES LYNCH
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Credential | NP-C
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Telephone | 585-289-9282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 339233
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License Number State | NY
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