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General NPI Number Information
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NPI Number | 1639627698
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Entity Type | Individual
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Provider Name | JODY LYMAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5325 BRODER BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-3309
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Country | US
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Telephone | 510-542-0753
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 BRODER BLVD
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City | DUBLIN
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State | CA
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Zip | 94568-3309
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Country | US
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Telephone |
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11176
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 108824
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 131406
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License Number State | CA
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