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General NPI Number Information
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NPI Number | 1831418250
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Entity Type | Individual
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Provider Name | LYNSEY JOHNSTON
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Gender | Female
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 600 W SANTA ANA BLVD STE 510
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City | SANTA ANA
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State | CA
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Zip | 92701-4511
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Country | US
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Telephone | 714-564-0155
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Fax |
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Provider Business Mailing Address
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Address Line | 5711 MEINHARDT RD
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City | WESTMINSTER
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State | CA
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Zip | 92683-2424
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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