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General NPI Number Information
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NPI Number | 1811828965
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Entity Type | Individual
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Provider Name | HOLLY MICHELE LYNCH BSN,RN,PHN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 3350 EDUCATION DR
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-7816
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Country | US
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Telephone | 805-305-8694
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Fax | 805-546-0646
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Provider Business Mailing Address
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Address Line | 2269 PLOVER CT
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-5579
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Country | US
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Telephone | 805-305-8694
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Fax | 805-546-0646
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 555504
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License Number State | CA
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