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General NPI Number Information
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NPI Number | 1790958064
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Entity Type | Individual
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Provider Name | ANDREW JAMES LIPNIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | UI HOSPITAL 1740 W. TAYLOR STREET, M/C 931
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City | CHICAGO
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State | IL
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Zip | 60612-6061
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Country | US
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Telephone | 312-996-0241
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Fax |
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Provider Business Mailing Address
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Address Line | UI HOSPITAL 1740 W. TAYLOR STREET, M/C 931
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City | CHICAGO
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State | IL
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Zip | 60612-0001
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Country | US
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Telephone | 615-322-4916
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD50346
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 50346
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 260610
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036.120054
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License Number State | IL
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