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General NPI Number Information
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NPI Number | 1861938425
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Entity Type | Organization
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Legal Business Name | LYNN AGENCY INC CDPAP
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 18811 HILLSIDE AVE
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City | HOLLIS
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State | NY
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Zip | 11423-1935
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Country | US
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Telephone | 718-261-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 18811 HILLSIDE AVE
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City | HOLLIS
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State | NY
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Zip | 11423-1935
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Country | US
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Telephone | 718-261-6400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MARCIA TRUPIN
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Credential |
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Telephone | 718-261-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 9394L001
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License Number State | NY
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