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General NPI Number Information
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NPI Number | 1477550895
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Entity Type | Individual
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Provider Name | STEPHEN N LIPSKY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 5185 PEACHTREE PKWY STE 350
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-6545
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Country | US
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Telephone | 770-858-5437
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Fax | 770-796-0298
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Provider Business Mailing Address
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Address Line | 5185 PEACHTREE PKWY STE 350
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-6545
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Country | US
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Telephone | 770-858-5437
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Fax | 770-796-0298
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 048263
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 42863
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License Number State | GA
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