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General NPI Number Information
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NPI Number | 1093620791
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Entity Type | Individual
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Provider Name | LILLIE PHILLIPS CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 100 MEDICAL CAMPUS DR
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City | LANSDALE
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State | PA
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Zip | 19446-1259
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Country | US
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Telephone | 423-262-9366
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Fax |
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Provider Business Mailing Address
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Address Line | 202 N MAIN ST # 204A
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City | CHALFONT
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State | PA
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Zip | 18914-2926
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Country | US
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Telephone | 423-262-9366
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP035788
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License Number State | PA
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