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General NPI Number Information
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NPI Number | 1033183959
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Entity Type | Organization
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Legal Business Name | PHILLIPS AND LEVITT SURGICAL ASSOC INC
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 340 OXFORD ST SUITE 220
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City | DOVER
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State | OH
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Zip | 44622-1967
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Country | US
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Telephone | 330-364-8011
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Fax | 330-364-0058
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Provider Business Mailing Address
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Address Line | 340 OXFORD ST SUITE 220
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City | DOVER
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State | OH
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Zip | 44622-1967
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Country | US
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Telephone | 330-364-8011
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Fax | 330-364-0058
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Authorized Official
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Title or Position | OWNER
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Name | MR. MATTHEW W PHILLIPS
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Credential | MD
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Telephone | 330-364-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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