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NPI 1922092352

NPI 1922092352 : HARRY G LIPHAM MD : CLYDE, NC

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General NPI Number Information
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    NPI Number           |    1922092352
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    Entity Type          |    Individual 
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    Provider Name        |    HARRY G LIPHAM MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2005
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    Last Update Date     |    09/04/2012
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Provider Practice Location Address
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    Address Line         |    600 HOSPITAL DR STE 9
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    City                 |    CLYDE
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    State                |    NC
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    Zip                  |    28721-8024
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    Country              |    US
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    Telephone            |    828-452-0331
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    Fax                  |    828-456-8726
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Provider Business Mailing Address
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    Address Line         |    600 HOSPITAL DR STE 9 
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    City                 |    CLYDE
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    State                |    NC
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    Zip                  |    28721-8046
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    Country              |    US
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    Telephone            |    828-452-0331
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    Fax                  |    828-456-6100
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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        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    25048
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    License Number State |    NC
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