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General NPI Number Information
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NPI Number | 1053192401
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Entity Type | Organization
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Legal Business Name | PHILLIPS CLINIC COMPANY, LLC
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1803 MARTIN LUTHER KING JR DR STE A
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City | HELENA
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State | AR
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Zip | 72342-9103
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Country | US
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Telephone | 870-338-7441
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Fax | 870-338-7945
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Provider Business Mailing Address
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Address Line | 1801 MARTIN LUTHER KING JR DR
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City | HELENA
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State | AR
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Zip | 72342-8998
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Country | US
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Telephone | 870-816-3900
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Fax | 870-816-3909
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Authorized Official
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Title or Position | SR DIRECTOR PHYSICIAN PRACTICE
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Name | LAURA J FEY
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Credential |
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Telephone | 615-221-3641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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