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General NPI Number Information
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NPI Number | 1437150083
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Entity Type | Individual
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Provider Name | BRYAN C LIPSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 509 W TIDWELL RD SUITE 314
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City | HOUSTON
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State | TX
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Zip | 77091-4352
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Country | US
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Telephone | 713-635-6996
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Fax | 713-635-6994
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Provider Business Mailing Address
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Address Line | 509 W TIDWELL RD STE 314
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City | HOUSTON
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State | TX
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Zip | 77091-4354
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Country | US
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Telephone | 731-635-6996
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Fax | 713-635-6994
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J8034
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | J8034
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | J8034
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License Number State | TX
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