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NPI 1871920439

NPI 1871920439 : AMBER L LIPPA PA-C : ATTLEBORO, MA

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General NPI Number Information
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    NPI Number           |    1871920439
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER L LIPPA PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/27/2013
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    Last Update Date     |    01/23/2025
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Provider Practice Location Address
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    Address Line         |    150 EMORY ST 
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    City                 |    ATTLEBORO
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    State                |    MA
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    Zip                  |    02703-2439
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    Country              |    US
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    Telephone            |    508-222-2021
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    Fax                  |    508-342-1907
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Provider Business Mailing Address
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    Address Line         |    150 EMORY ST 
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    City                 |    ATTLEBORO
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    State                |    MA
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    Zip                  |    02703-2439
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    Country              |    US
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    Telephone            |    508-222-2021
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    Fax                  |    508-342-1907
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA4836
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    License Number State |    MA
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