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General NPI Number Information
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NPI Number | 1073810628
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Entity Type | Individual
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Provider Name | KYLONI D PHILLIPS APN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1600 COIT RD SUITE # 104
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City | PLANO
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State | TX
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Zip | 75075-6174
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Country | US
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Telephone | 318-230-9020
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Fax | 972-519-1591
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Provider Business Mailing Address
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Address Line | 1600 COIT RD SUITE # 104
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City | PLANO
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State | TX
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Zip | 75075-6174
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Country | US
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Telephone | 318-230-9020
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Fax | 972-519-1591
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 788454
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License Number State | TX
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