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General NPI Number Information
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NPI Number | 1659855062
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Entity Type | Organization
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Legal Business Name | LYNNETTE ALLEN ADULT CARE, NP, PC
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 734 WALT WHITMAN RD STE 101
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City | MELVILLE
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State | NY
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Zip | 11747-2216
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Country | US
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Telephone | 516-294-6200
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Fax | 888-522-2854
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Provider Business Mailing Address
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Address Line | 734 WALT WHITMAN RD STE 101
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City | MELVILLE
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State | NY
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Zip | 11747-2216
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Country | US
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Telephone | 516-294-6200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LYNNETTE ALLEN
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Credential | NP-C
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Telephone | 516-294-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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