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General NPI Number Information
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NPI Number | 1053367383
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Entity Type | Individual
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Provider Name | BRIAN JONATHAN LIPMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 10001 S EASTERN AVE STE 307
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City | HENDERSON
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State | NV
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Zip | 89052
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Country | US
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Telephone | 702-909-7170
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Fax | 702-909-7234
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Provider Business Mailing Address
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Address Line | PO BOX 845712
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City | LOS ANGELES
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State | CA
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Zip | 90084-5712
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Country | US
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Telephone | 888-252-2804
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Fax | 702-444-2149
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 9172
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License Number State | NV
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