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General NPI Number Information
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NPI Number | 1730512112
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Entity Type | Individual
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Provider Name | LYNN SZOSTEK PHD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 212 STILLWATER CREEK DR
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City | LITTLETON
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State | NC
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Zip | 27850-9201
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Country | US
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Telephone | 804-304-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 212 STILLWATER CREEK DR
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City | LITTLETON
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State | NC
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Zip | 27850-9201
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Country | US
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Telephone | 804-304-8052
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701002632
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License Number State | VA
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