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General NPI Number Information
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NPI Number | 1447769351
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Entity Type | Individual
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Provider Name | BARTLOMIEJ LIPKO PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/22/2017
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 9475 S UNIVERSITY BLVD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-7802
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Country | US
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Telephone | 303-470-4061
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Fax | 303-470-4062
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-4123
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Fax | 970-490-4173
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0005730
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License Number State | CO
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