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General NPI Number Information
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NPI Number | 1073532354
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Entity Type | Individual
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Provider Name | LAWRENCE S. PHILLIPS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | DIVISION OF ENDOCRINOLOGY EMORY UNIVERSITY 101 WOODRUFF CIRCLE, ROOM 1027
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-1392
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Fax | 404-727-1300
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Provider Business Mailing Address
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Address Line | DIVISION OF ENDOCRINOLOGY EMORY UNIVERSITY 101 WOODRUFF CIRCLE, ROOM 1027
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-1392
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Fax | 404-727-1300
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 025016
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License Number State | GA
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