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General NPI Number Information
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NPI Number | 1962534321
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Entity Type | Individual
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Provider Name | LYNNE F REILLY MFT LADC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 781 GERALDINE DR
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-8608
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Country | US
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Telephone | 775-527-5653
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Fax | 775-833-1719
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Provider Business Mailing Address
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Address Line | 781 GERALDINE DR
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-8608
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Country | US
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Telephone | 775-527-5653
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Fax | 775-833-1718
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1088
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License Number State | NV
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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 | 0927
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License Number State | NV
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