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General NPI Number Information
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NPI Number | 1649586025
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Entity Type | Individual
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Provider Name | LYNN SNIPES WOGAMON L.P.E.S
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1400 OLD TROLLEY RD
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City | SUMMERVILLE
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State | SC
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Zip | 29485-5210
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Country | US
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Telephone | 843-532-4923
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Fax | 843-962-5508
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Provider Business Mailing Address
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Address Line | 6859 HYDE FARM RD
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City | RAVENEL
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State | SC
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Zip | 29470-5372
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Country | US
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Telephone | 843-532-4923
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Fax | 843-962-5508
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4583
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License Number State | SC
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