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General NPI Number Information
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NPI Number | 1972830487
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Entity Type | Individual
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Provider Name | LYNNE HURLBUT LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1794 PENFIELD RD
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City | PENFIELD
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State | NY
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Zip | 14526-2124
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Country | US
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Telephone | 585-789-1457
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Fax |
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Provider Business Mailing Address
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Address Line | 490 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14621-1229
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Country | US
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Telephone | 585-922-2633
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Fax | 585-922-2646
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 077106-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 082611
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License Number State | NY
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