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General NPI Number Information
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NPI Number | 1629614649
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Entity Type | Individual
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Provider Name | LYNN DEANG
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 2136 ASHLEY OAKS CIR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6902
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Country | US
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Telephone | 813-602-6004
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Fax | 813-501-3359
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Provider Business Mailing Address
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Address Line | PO BOX 7439
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-0108
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Country | US
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Telephone | 813-602-6004
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Fax | 813-501-3359
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT26292
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License Number State | FL
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