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General NPI Number Information
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NPI Number | 1932159365
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Entity Type | Individual
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Provider Name | EDWIN L LIPSITZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 04/18/2014
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Provider Practice Location Address
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Address Line | 12106 OLD LINE CTR
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City | WALDORF
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State | MD
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Zip | 20602-2553
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Country | US
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Telephone | 301-645-8898
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Fax | 301-870-4940
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Provider Business Mailing Address
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Address Line | 12106 OLD LINE CTR
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City | WALDORF
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State | MD
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Zip | 20602-2553
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Country | US
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Telephone | 301-645-8898
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Fax | 301-870-4940
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC005010L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S03454
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License Number State | MD
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