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General NPI Number Information
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NPI Number | 1235129420
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Entity Type | Individual
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Provider Name | BENNET LIPPER MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 3801 LAS POSAS RD STE 214
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City | CAMARILLO
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State | CA
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Zip | 93010-1426
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Country | US
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Telephone | 805-437-0900
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Fax | 805-987-2878
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Provider Business Mailing Address
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Address Line | 800 S VICTORIA AVE # L4640
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City | VENTURA
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State | CA
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Zip | 93009-0003
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Country | US
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Telephone | 805-437-0900
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Fax | 805-987-2878
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | G68798
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G68798
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G68798
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License Number State | CA
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