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General NPI Number Information
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NPI Number | 1912496449
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Entity Type | Individual
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Provider Name | LYNN FARRELL
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Gender | Female
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 19 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 718-494-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 15711 129TH AVE
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City | JAMAICA
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State | NY
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Zip | 11434-2833
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Country | US
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Telephone | 917-560-0967
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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