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General NPI Number Information
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NPI Number | 1780249359
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Entity Type | Individual
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Provider Name | JOSEPH JOHN LYNOTT DPM
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Gender | Male
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1927 WILMINGTON DR UNIT 102
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City | FORT COLLINS
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State | CO
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Zip | 80528-6103
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Country | US
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Telephone | 970-416-9009
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Fax | 970-416-9010
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Provider Business Mailing Address
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Address Line | 1927 WILMINGTON DR UNIT 102
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City | FORT COLLINS
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State | CO
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Zip | 80528-6103
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Country | US
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Telephone | 970-416-9009
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Fax | 970-416-9010
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 59.000787
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License Number State | OH
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