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General NPI Number Information
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NPI Number | 1952382962
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Entity Type | Organization
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Legal Business Name | LYNZ MANAGEMENT, INC.
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1304 NE 3RD AVE
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City | GAINESVILLE
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State | FL
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Zip | 32641-5769
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Country | US
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Telephone | 352-538-9776
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 584
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City | MICANOPY
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State | FL
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Zip | 32667-0584
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Country | US
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Telephone | 352-538-9776
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Fax | 386-462-2479
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | BLAYN SAMUEL PRESS
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Credential | M.S.
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Telephone | 352-538-9776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | FL
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