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General NPI Number Information
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NPI Number | 1750385209
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Entity Type | Individual
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Provider Name | LYNN DEE DERBY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 235 E ROWAN AVE STE 206
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City | SPOKANE
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State | WA
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Zip | 99207-1240
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Country | US
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Telephone | 509-484-1212
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Fax | 509-484-1277
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Provider Business Mailing Address
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Address Line | 235 E ROWAN AVE STE 206
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City | SPOKANE
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State | WA
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Zip | 99207-1240
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Country | US
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Telephone | 509-484-1212
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Fax | 509-484-1277
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD00033468
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | MD00033468
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | MD00033468
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MD00033468
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License Number State | WA
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