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NPI 1609394121

NPI 1609394121 : LYNN T. HEMPHILL, LLC : GREENWOOD, SC

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General NPI Number Information
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    NPI Number           |    1609394121
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    Entity Type          |    Organization 
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    Legal Business Name  |    LYNN T. HEMPHILL, LLC 
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Dates
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    Enumeration Date     |    09/05/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    112 BYPASS 225 
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29646-1154
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    Country              |    US
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    Telephone            |    864-942-0104
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    Fax                  |    864-942-0106
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Provider Business Mailing Address
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    Address Line         |    112 BYPASS 225 
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    City                 |    GREENWOOD
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    State                |    SC
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    Zip                  |    29646-1154
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    Country              |    US
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    Telephone            |    864-942-0104
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    Fax                  |    864-942-0106
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. LYNN T HEMPHILL 
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    Credential           |    LISW-CP
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    Telephone            |    864-942-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    8502
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    License Number State |    SC
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