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General NPI Number Information
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NPI Number | 1720174964
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Entity Type | Individual
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Provider Name | LYNN M CEPICAN MSW LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 15282 W BROOKSIDE LN STE 110
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City | SURPRISE
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State | AZ
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Zip | 85374-2448
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Country | US
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Telephone | 480-469-1892
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5686
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City | SUN CITY WEST
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State | AZ
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Zip | 85376-5686
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Country | US
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Telephone | 480-469-1892
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.012694
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16141
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License Number State | AZ
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