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General NPI Number Information
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NPI Number | 1659383958
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Entity Type | Individual
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Provider Name | LYNN MARIE SKUNTA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4859 DOVER CENTER RD STE 9
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3191
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Country | US
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Telephone | 440-779-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 4859 DOVER CENTER RD STE 9
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3191
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Country | US
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Telephone | 440-779-8880
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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 | E0001242
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S0009466
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License Number State | OH
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