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General NPI Number Information
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NPI Number | 1992079941
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Entity Type | Organization
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Legal Business Name | PHILIP J LIPS, DDS, INC
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 750 E ROMIE LN SUITE C
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City | SALINAS
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State | CA
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Zip | 93901-4210
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Country | US
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Telephone | 831-757-1038
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Fax | 831-757-5009
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Provider Business Mailing Address
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Address Line | 750 E ROMIE LN SUITE C
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City | SALINAS
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State | CA
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Zip | 93901-4210
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Country | US
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Telephone | 831-757-1038
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Fax | 831-757-5009
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PHILIP JAMES LIPS
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Credential | D.D.S.
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Telephone | 831-757-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | B16799
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License Number State | CA
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