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General NPI Number Information
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NPI Number | 1962342105
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Entity Type | Individual
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Provider Name | KELLEY L LYNCH CPT
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Gender | Female
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3000 CUMBERLAND CLUB DR APT 3103
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City | ATLANTA
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State | GA
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Zip | 30339-4962
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Country | US
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Telephone | 334-954-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CUMBERLAND CLUB DR APT 3103
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City | ATLANTA
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State | GA
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Zip | 30339-4962
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Country | US
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Telephone | 334-954-8499
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | S4B9C8H6
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License Number State | AL
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