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General NPI Number Information
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NPI Number | 1609086958
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Entity Type | Organization
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Legal Business Name | LYNCH CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 289 LAWRENCE RD
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City | SALEM
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State | NH
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Zip | 03079-4389
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Country | US
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Telephone | 603-890-1123
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Fax | 603-890-1123
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Provider Business Mailing Address
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Address Line | 289 LAWRENCE RD
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City | SALEM
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State | NH
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Zip | 03079-4389
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Country | US
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Telephone | 603-890-1123
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Fax | 603-890-1123
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN W LYNCH
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Credential | D.C.
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Telephone | 603-890-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 279-0297
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License Number State | NH
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