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General NPI Number Information
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NPI Number | 1912384454
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Entity Type | Individual
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Provider Name | DAVID LEE LYNCH LPC
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Gender | Male
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 170 FRANK LATHAM RD
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City | PINSON
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State | TN
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Zip | 38366-9632
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Country | US
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Telephone | 731-608-3497
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Fax |
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Provider Business Mailing Address
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Address Line | 170 FRANK LATHAM RD
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City | PINSON
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State | TN
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Zip | 38366-9632
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Country | US
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Telephone | 662-286-5469
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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 | 6209
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1759
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License Number State | MS
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