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General NPI Number Information
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NPI Number | 1629569470
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Entity Type | Organization
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Legal Business Name | LYNN RUMMEL, INC.
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Dates
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Enumeration Date | 05/27/2018
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 4957 5TH MNR
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City | VERO BEACH
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State | FL
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Zip | 32968-1132
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Country | US
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Telephone | 772-323-1228
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Fax |
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Provider Business Mailing Address
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Address Line | 455 GREYSTONE CT SW
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City | VERO BEACH
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State | FL
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Zip | 32968-3946
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Country | US
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Telephone | 772-323-1228
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Fax |
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Authorized Official
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Title or Position | OWER
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Name | MRS. LYNN RUMMEL
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Credential |
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Telephone | 772-323-1228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 15986
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License Number State | FL
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