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General NPI Number Information
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NPI Number | 1639802994
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Entity Type | Individual
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Provider Name | KATHERINE ANN LYNCH AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 100 S MCCLINTOCK DR STE 100
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City | CHANDLER
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State | AZ
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Zip | 85226-4816
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Country | US
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Telephone | 480-633-3388
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Fax | 480-633-0255
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Provider Business Mailing Address
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Address Line | PO BOX 9058
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City | MESA
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State | AZ
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Zip | 85214-9058
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Country | US
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Telephone | 480-633-3388
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Fax | 480-633-0255
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 233047
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License Number State | AZ
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