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General NPI Number Information
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NPI Number | 1184187361
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Entity Type | Individual
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Provider Name | LISA MARIE DIPINTO MPT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2019
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Last Update Date | 04/13/2019
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Provider Practice Location Address
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Address Line | 7401 YORKTOWN AVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2757
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Country | US
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Telephone | 714-536-3032
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Fax |
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Provider Business Mailing Address
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Address Line | 8327 E FLOWERWOOD AVE
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City | ORANGE
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State | CA
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Zip | 92869-4578
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Country | US
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Telephone | 714-771-3350
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT22056
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License Number State | CA
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