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General NPI Number Information
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NPI Number | 1770526675
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Entity Type | Individual
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Provider Name | EARL HENRY LYNCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 5151 CAMINO RUIZ STE A
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City | CAMARILLO
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State | CA
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Zip | 93012
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Country | US
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Telephone | 805-384-7378
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 N FAIRVIEW AVE
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City | GOLETA
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State | CA
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Zip | 93117-1837
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Country | US
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Telephone | 805-452-4716
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | A49644
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License Number State | CA
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