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General NPI Number Information
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NPI Number | 1356372866
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Entity Type | Organization
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Legal Business Name | R FLIPPIN SC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 3915 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53216-2528
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Country | US
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Telephone | 414-444-9242
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Fax | 414-444-9252
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Provider Business Mailing Address
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Address Line | PO BOX 16557
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City | MILWAUKEE
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State | WI
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Zip | 53216-0557
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Country | US
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Telephone | 414-444-9242
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Fax | 414-444-9252
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Authorized Official
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Title or Position | PRESIDENT
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Name | REGINA FLIPPIN
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Credential | DPM
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Telephone | 414-444-9242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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