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General NPI Number Information
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NPI Number | 1083705917
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Entity Type | Individual
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Provider Name | WARREN H PHILLIPS PH, D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 400 S 4TH ST STE 400
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1419
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Country | US
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Telephone | 970-201-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S 4TH ST STE 400
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-1419
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Country | US
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Telephone | 970-201-1774
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 00842
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 356
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 00842
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 00842
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0006871
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 00842
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License Number State | IA
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Taxonomy #7
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 00842
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License Number State | IA
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