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General NPI Number Information
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NPI Number | 1164536512
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Entity Type | Individual
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Provider Name | CHRISTOPHER P LIPSMEYER MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6800 STATE ROUTE 162
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City | MARYVILLE
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State | IL
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Zip | 62062-8500
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Country | US
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Telephone | 618-288-5711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8351
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City | FORT WORTH
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State | TX
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Zip | 76124-0351
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Country | US
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Telephone | 817-451-4208
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 36-116105
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0432906
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.094674
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2006029618
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101246429
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60132287
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.32515
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 22512
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License Number State | MS
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Taxonomy #9
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q1440
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD38533
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License Number State | IA
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Taxonomy #11
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01067277A
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License Number State | IN
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Taxonomy #12
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 45360
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License Number State | KY
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Taxonomy #13
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 303380
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License Number State | LA
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Taxonomy #14
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301081397
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License Number State | MI
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Taxonomy #15
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 46236
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License Number State | FL
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