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General NPI Number Information
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NPI Number | 1972926160
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Entity Type | Individual
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Provider Name | LYNSAY MARIE LULI M.A., CFY-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 61 N CLEVELAND MASSILLON RD UNIT B
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City | FAIRLAWN
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State | OH
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Zip | 44333-4557
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Country | US
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Telephone | 330-668-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 2791 STATE ROUTE 44
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City | ROOTSTOWN
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State | OH
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Zip | 44272-9682
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Country | US
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Telephone | 330-715-0122
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | COND.2014112-SP
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License Number State | OH
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