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General NPI Number Information
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NPI Number | 1093914129
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Entity Type | Organization
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Legal Business Name | DAVID U LIPSITZ, MD
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 920 CHURCH ST N
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City | CONCORD
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State | NC
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Zip | 28025-2927
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Country | US
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Telephone | 704-783-3311
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Fax | 704-783-3345
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Provider Business Mailing Address
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Address Line | 349 COPPERFIELD BLVD NE STE L SUITE 369
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City | CONCORD
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State | NC
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Zip | 28025-2432
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Country | US
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Telephone | 704-896-9830
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Fax | 704-896-7815
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID URI LIPSITZ
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Credential | M.D.
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Telephone | 704-896-9830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 9500646
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License Number State | NC
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