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General NPI Number Information
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NPI Number | 1821316688
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Entity Type | Individual
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Provider Name | BRIAN J LIPPS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 3074 BRICKHOUSE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6859
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Country | US
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Telephone | 757-376-8586
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Fax | 757-644-1439
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Provider Business Mailing Address
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Address Line | 3074 BRICKHOUSE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6859
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Country | US
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Telephone | 757-376-8586
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Fax | 757-644-1439
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0101236323
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101236323
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101236323
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License Number State | VA
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