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General NPI Number Information
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NPI Number | 1194896951
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Entity Type | Organization
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Legal Business Name | LINDENHURST OB-GYN GROUP PC ROBERT J LIPANI MD PRES
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41 BRENTWOOD RD
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City | BAYSHORE
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State | NY
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Zip | 11706-6923
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Country | US
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Telephone | 631-665-2446
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Fax | 631-665-0816
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Provider Business Mailing Address
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Address Line | 41 BRENTWOOD RD
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City | BAYSHORE
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State | NY
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Zip | 11706-6923
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Country | US
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Telephone | 631-665-2446
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Fax | 631-665-0816
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JOHN LIPANI
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Credential | MD
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Telephone | 631-665-2446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 136230
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License Number State | NY
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