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General NPI Number Information
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NPI Number | 1699213033
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Entity Type | Individual
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Provider Name | REGINA LYNCH BLACK APRN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 12 PENNS TRL STE 101
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City | NEWTOWN
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State | PA
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Zip | 18940-1892
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Country | US
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Telephone | 267-699-2537
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Fax |
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Provider Business Mailing Address
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Address Line | 12 PENNS TRL STE 101
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City | NEWTOWN
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State | PA
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Zip | 18940-1892
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Country | US
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Telephone | 267-699-2537
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP036076
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN588393
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License Number State | PA
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