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General NPI Number Information
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NPI Number | 1679923882
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Entity Type | Organization
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Legal Business Name | LAUREN FLYNN LLC
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Dates
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Enumeration Date | 06/18/2016
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 1001 PINE HEIGHTS AVENUE SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 443-827-5717
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Fax | 443-636-5385
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Provider Business Mailing Address
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Address Line | 1001 PINE HEIGHTS AVENUE SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21229
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Country | US
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Telephone | 443-827-5717
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Fax | 443-636-5385
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. LAUREN BETH FLYNN
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Credential | LCSW-C
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Telephone | 443-827-5717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19376
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License Number State | MD
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