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General NPI Number Information
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NPI Number | 1740340975
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Entity Type | Organization
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Legal Business Name | LYNN MOTLEY INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 2402 GREATSTONE PT
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 859-224-8114
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Fax | 859-224-8011
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Provider Business Mailing Address
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Address Line | 2402 GREATSTONE PT
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 859-224-8114
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Fax | 859-224-8011
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MS. LYNN MARIE MOTLEY
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Credential | LCSW
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Telephone | 859-224-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1003
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License Number State | KY
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