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General NPI Number Information
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NPI Number | 1104885953
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Entity Type | Individual
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Provider Name | CYNTHIA B PHILLIPS DO
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 450 MEDICAL CENTER BLVD SUITE 540
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City | WEBSTER
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State | TX
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Zip | 77598-4234
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Country | US
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Telephone | 832-932-5138
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Fax | 832-932-5142
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Provider Business Mailing Address
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Address Line | PO BOX 269092
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-9092
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Country | US
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Telephone | 832-932-5138
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Fax | 832-932-5142
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L0510
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License Number State | TX
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