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General NPI Number Information
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NPI Number | 1497827315
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Entity Type | Individual
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Provider Name | OLGA LIPSKAYA SR. DDS
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 363 EAST STREET ROAD
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City | FEASTERVILLE
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State | PA
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Zip | 19053-7711
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Country | US
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Telephone | 215-494-9921
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Fax | 215-494-9137
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Provider Business Mailing Address
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Address Line | 363 EAST STREET ROAD
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City | FEASTERVILLE
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State | PA
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Zip | 19053-7711
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Country | US
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Telephone | 215-494-9921
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Fax | 215-494-9137
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS036940
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License Number State | PA
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