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General NPI Number Information
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NPI Number | 1124260690
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Entity Type | Individual
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Provider Name | STUART LIPMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 353 4TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4611
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Country | US
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Telephone | 727-560-1222
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Fax | 206-600-5923
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Provider Business Mailing Address
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Address Line | 353 4TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4611
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Country | US
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Telephone | 727-560-1222
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Fax | 206-600-5923
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME0049817
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License Number State | FL
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