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General NPI Number Information
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NPI Number | 1861695991
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Entity Type | Individual
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Provider Name | STEVEN ALAN LYNAM LPC
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 608 N GREENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-2024
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Country | US
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Telephone | 336-299-3753
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 N ROCKINGHAM RD
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City | GREENSBORO
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State | NC
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Zip | 27407-7246
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Country | US
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Telephone | 336-299-3753
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3637
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License Number State | NC
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