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General NPI Number Information
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NPI Number | 1790759124
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Entity Type | Individual
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Provider Name | LYNN F DUFFY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 3022 WILLIAMS DR SUITE 301
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City | FAIRFAX
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State | VA
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Zip | 22031-4600
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Country | US
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Telephone | 703-698-8960
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Fax | 703-641-8427
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Provider Business Mailing Address
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Address Line | 3022 WILLIAMS DR SUITE 301
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City | FAIRFAX
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State | VA
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Zip | 22031-4600
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Country | US
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Telephone | 703-698-8960
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Fax | 703-641-8427
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 0101041670
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License Number State | VA
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