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General NPI Number Information
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NPI Number | 1003952151
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Entity Type | Individual
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Provider Name | TANYANIKA PHILLIPS MD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 44151 15TH ST W STE 101
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City | LANCASTER
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State | CA
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Zip | 93534-4079
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Country | US
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Telephone | 661-902-5600
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Fax | 661-951-0686
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Provider Business Mailing Address
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Address Line | PO BOX 512185
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City | LOS ANGELES
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State | CA
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Zip | 90051-0185
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Country | US
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Telephone |
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Fax |
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 35601
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 28718
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | C157739
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | C157739
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License Number State | CA
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