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General NPI Number Information
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NPI Number | 1902884091
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Entity Type | Individual
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Provider Name | MICHAEL P LYNN CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | SANTA MARGARITA RD BLDG H-100 NAVAL HOSPITAL CAMP PENDLETON
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City | CAMP PENDLETON
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State | CA
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Zip | 92055
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Country | US
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Telephone | 760-725-8578
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Fax |
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Provider Business Mailing Address
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Address Line | 41722 MONTEREY PL
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City | TEMECULA
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State | CA
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Zip | 92591-7935
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 502499
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 3309
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License Number State | CA
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