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General NPI Number Information
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NPI Number | 1013635994
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Entity Type | Organization
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Legal Business Name | PHILLIPS CARE COMPANY, INC.
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | N8836 STATE ROAD 58
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City | NEW LISBON
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State | WI
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Zip | 53950-9537
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Country | US
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Telephone | 608-344-0224
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Fax |
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Provider Business Mailing Address
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Address Line | N8836 STATE ROAD 58
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City | NEW LISBON
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State | WI
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Zip | 53950-9537
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Country | US
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Telephone | 608-344-0224
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MADELINE PHILLIPS
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Credential |
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Telephone | 608-344-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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