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NPI 1366595043

NPI 1366595043 : LIPSITZ ENTERPRISES INC : BEAUFORT, SC

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General NPI Number Information
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    NPI Number           |    1366595043
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIPSITZ ENTERPRISES INC 
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Dates
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    Enumeration Date     |    01/18/2007
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    Last Update Date     |    04/20/2008
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Provider Practice Location Address
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    Address Line         |    828 BAY ST 
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    City                 |    BEAUFORT
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    State                |    SC
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    Zip                  |    29902-5566
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    Country              |    US
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    Telephone            |    843-524-2330
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    Fax                  |    843-524-0219
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Provider Business Mailing Address
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    Address Line         |    828 BAY ST 
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    City                 |    BEAUFORT
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    State                |    SC
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    Zip                  |    29902-5566
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    Country              |    US
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    Telephone            |    843-524-2330
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    Fax                  |    843-524-0219
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NEIL  LIPSITZ 
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    Credential           |    
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    Telephone            |    843-524-2330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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