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General NPI Number Information
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NPI Number | 1831499771
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Entity Type | Individual
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Provider Name | AMY LYNN LENTINI MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 5359 HIGHWAY N SUITE 102
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City | SAINT CHARLES
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State | MO
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Zip | 63304-7792
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Country | US
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Telephone | 314-749-1771
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Fax | 636-634-9033
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Provider Business Mailing Address
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Address Line | 5359 HIGHWAY N SUITE 102
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City | SAINT CHARLES
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State | MO
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Zip | 63304-7792
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Country | US
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Telephone | 314-749-1771
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Fax | 636-634-9033
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2008032890
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License Number State | MO
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