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General NPI Number Information
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NPI Number | 1851023238
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Entity Type | Individual
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Provider Name | JASMINE LYNCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/25/2022
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 13203 N 103RD AVE
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City | SUN CITY
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State | AZ
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Zip | 85351-3028
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Country | US
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Telephone | 623-385-9817
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Fax |
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Provider Business Mailing Address
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Address Line | 12427 W MARLETTE AVE
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-5254
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Country | US
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Telephone | 623-385-9817
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW-20362
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-23210
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License Number State | AZ
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