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General NPI Number Information
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NPI Number | 1962682971
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Entity Type | Individual
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Provider Name | LYNDSAY ELLIOTT PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1201 LIBERTY PIKE # 229-300
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City | FRANKLIN
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State | TN
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Zip | 37067-5604
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Country | US
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Telephone | 615-753-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 BAYSIDE DR
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-1711
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3891
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY21342
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY21342
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY21342
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PSY21342
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License Number State | CA
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