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General NPI Number Information
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NPI Number | 1497928881
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Entity Type | Organization
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Legal Business Name | LOUIS B. LIPSCHUTZ,M.D.,PC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 175 RIDINGS WAY
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City | AMBLER
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State | PA
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Zip | 19002-5245
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Country | US
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Telephone | 610-853-3370
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Fax | 215-641-4925
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Provider Business Mailing Address
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Address Line | 175 RIDINGS WAY
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City | AMBLER
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State | PA
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Zip | 19002-5245
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Country | US
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Telephone | 610-853-3370
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Fax | 215-641-4925
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOUIS BARRY LIPSCHUTZ
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Credential | M.D.
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Telephone | 610-853-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD030120-E
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License Number State | PA
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