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General NPI Number Information
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NPI Number | 1134494271
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Entity Type | Organization
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Legal Business Name | RODGER PHILLIPS, D.C. APC
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 21700 GOLDEN TRIANGLE RD SUITE 103
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2616
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Country | US
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Telephone | 661-253-1200
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Fax | 661-253-1276
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Provider Business Mailing Address
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Address Line | 21700 GOLDEN TRIANGLE RD SUITE 103
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2616
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Country | US
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Telephone | 661-253-1200
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Fax | 661-253-1276
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODGER R PHILLIPS
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Credential | D.C.
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Telephone | 661-253-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12506
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License Number State | CA
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