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General NPI Number Information
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NPI Number | 1750928826
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Entity Type | Individual
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Provider Name | KARINA LIPKIN
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Gender | Female
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Dates
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Enumeration Date | 12/07/2019
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1301 20TH ST STE 465
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City | SANTA MONICA
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State | CA
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Zip | 90404-2090
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Country | US
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Telephone | 818-203-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 4655 NATICK AVE UNIT 4
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2768
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Country | US
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Telephone | 818-203-3155
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95013150
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License Number State | CA
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