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General NPI Number Information
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NPI Number | 1962477653
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Entity Type | Individual
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Provider Name | LYNNE C GRAHAM O'BRIEN AUD, CCC-A
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 04/27/2013
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Provider Practice Location Address
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Address Line | 40 ARMINGTON ST
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City | ALLSTON
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State | MA
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Zip | 02134-2406
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Country | US
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Telephone | 617-635-8544
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Fax | 617-635-6697
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Provider Business Mailing Address
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Address Line | 9 DARLING ST
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City | MARBLEHEAD
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State | MA
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Zip | 01945-3534
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Country | US
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Telephone | 617-306-3676
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 574
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License Number State | MA
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