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General NPI Number Information
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NPI Number | 1982603155
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Entity Type | Organization
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Legal Business Name | GI HEALTH PROFESSIONALS, PC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 817 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-257-5071
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Fax | 215-257-1801
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Provider Business Mailing Address
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Address Line | 817 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1549
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Country | US
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Telephone | 215-257-5071
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Fax | 215-257-1801
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. LISA A LIPYANIK
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Credential | PRACTICE ADMINISTRAT
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Telephone | 215-257-5071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 008729-E
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License Number State | PA
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