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General NPI Number Information
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NPI Number | 1235410549
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Entity Type | Organization
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Legal Business Name | AVRON H LIPSCHITZ MD PLASTIC SURGERY LLC
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 903 SE MONTEREY COMMONS BLVD
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City | STUART
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State | FL
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Zip | 34996-3339
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Country | US
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Telephone | 727-324-8197
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Fax | 772-324-8143
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Provider Business Mailing Address
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Address Line | 903 SE MONTEREY COMMONS BLVD
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City | STUART
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State | FL
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Zip | 34996-3339
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Country | US
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Telephone | 772-324-8197
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Fax | 772-324-8143
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. AVRON HERSCHEL LIPSCHITZ
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Credential | MD
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Telephone | 772-324-8197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME108557
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License Number State | FL
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