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General NPI Number Information
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NPI Number | 1093731002
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Entity Type | Individual
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Provider Name | DELANA JEAN PHILLIPS MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 77-311 SUNSET DR
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City | KAILUA KONA
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State | HI
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Zip | 96740-9754
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Country | US
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Telephone | 850-474-8100
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Fax | 850-474-8083
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Provider Business Mailing Address
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Address Line | P.O. BOX 2508
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City | KAILUA KONA
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State | HI
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Zip | 96745-2508
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Country | US
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Telephone | 850-474-8100
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Fax | 850-474-8083
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G56304
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD8224
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9600229
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 96370
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License Number State | FL
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