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General NPI Number Information
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NPI Number | 1679373112
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Entity Type | Organization
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Legal Business Name | LYNCH WELLNESS PROFESSIONAL GROUP, INC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 80 WASHINGTON ST STE D25
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City | NORWELL
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State | MA
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Zip | 02061-1743
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Country | US
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Telephone | 781-421-3611
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Fax |
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Provider Business Mailing Address
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Address Line | 80 WASHINGTON ST STE D25
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City | NORWELL
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State | MA
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Zip | 02061-1743
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Country | US
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Telephone | 781-421-3611
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DANIEL LYNCH
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Credential | LADC-1, CIP
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Telephone | 781-421-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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