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General NPI Number Information
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NPI Number | 1902060080
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Entity Type | Individual
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Provider Name | LYNN LOUISE MAUPIN PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 7600 N 15TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85020-4330
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Country | US
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Telephone | 602-704-2345
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Fax | 602-704-2399
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Provider Business Mailing Address
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Address Line | PO BOX 7294
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City | GOODYEAR
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State | AZ
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Zip | 85338-0639
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Country | US
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Telephone | 623-760-7660
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Fax | 567-243-7800
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP4302
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4302
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP3084
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP3084
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP3084
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License Number State | AZ
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