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General NPI Number Information
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NPI Number | 1649451824
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Entity Type | Organization
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Legal Business Name | M. BARRY LIPSON, M.D., LTD.
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 505 WASHINGTON AVE
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City | NEWTOWN
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State | PA
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Zip | 18940-2144
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Country | US
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Telephone | 215-968-6774
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Fax | 215-968-1976
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Provider Business Mailing Address
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Address Line | 505 WASHINGTON AVE
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City | NEWTOWN
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State | PA
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Zip | 18940-2144
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Country | US
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Telephone | 215-968-6774
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Fax | 215-968-1976
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. MYRON BARRY LIPSON
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Credential | M.D.
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Telephone | 215-968-6774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD008879E
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License Number State | PA
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