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General NPI Number Information
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NPI Number | 1902998107
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Entity Type | Organization
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Legal Business Name | HOWARD D LIPKIN DO PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 220
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-220-4422
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Fax | 810-225-4696
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Provider Business Mailing Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 220
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-220-4422
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Fax | 810-225-4696
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HOWARD DAVID LIPKIN
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Credential | D.O.
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Telephone | 810-220-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 5101011598
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License Number State | MI
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