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General NPI Number Information
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NPI Number | 1689979395
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Entity Type | Individual
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Provider Name | AMBER DAWN LYNCH LPC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 320 DEWEY AVE
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City | POTEAU
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State | OK
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Zip | 74953-4212
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Country | US
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Telephone | 918-647-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 123 E AVENUE C
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City | HEAVENER
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State | OK
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Zip | 74937-2603
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Country | US
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Telephone | 918-658-4016
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7514
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License Number State | OK
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