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General NPI Number Information
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NPI Number | 1205978871
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Entity Type | Individual
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Provider Name | MARK A LIPSCHITZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 3362 ACWORTH SUMMIT BLVD NW
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City | ACWORTH
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State | GA
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Zip | 30101-5770
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Country | US
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Telephone | 631-512-0749
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Fax |
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Provider Business Mailing Address
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Address Line | 3362 ACWORTH SUMMIT BLVD NW
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City | ACWORTH
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State | GA
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Zip | 30101-5770
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Country | US
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Telephone | 631-512-0749
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008771
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 010687
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License Number State | NY
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