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General NPI Number Information
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NPI Number | 1750720066
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Entity Type | Individual
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Provider Name | JENNIFER ANN LIPMAN D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | 1701 TWIN SPRINGS RD
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City | HALETHORPE
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State | MD
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Zip | 21227-3553
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Country | US
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Telephone | 410-737-5920
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 TWIN SPRINGS RD
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City | HALETHORPE
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State | MD
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Zip | 21227-3553
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Country | US
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Telephone | 410-737-5920
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Fax |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 01593
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103301165
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO1000129
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2421
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License Number State | MA
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