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General NPI Number Information
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NPI Number | 1790399673
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Entity Type | Individual
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Provider Name | LYNN ALLEN COBB LPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 2501 N 3RD ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1904
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Country | US
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Telephone | 717-782-2343
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Fax | 717-782-2308
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Provider Business Mailing Address
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Address Line | 1151 ALLENDALE RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4406
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Country | US
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Telephone | 717-599-2303
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC012550
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License Number State | PA
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