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General NPI Number Information
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NPI Number | 1164592796
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Entity Type | Individual
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Provider Name | EMILY ANN PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 6724 E MORGAN AVE STE B
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City | EVANSVILLE
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State | IN
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Zip | 47715-8228
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Country | US
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Telephone | 812-401-0797
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Fax | 812-471-6650
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Provider Business Mailing Address
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Address Line | PO BOX 1637
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City | EVANSVILLE
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State | IN
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Zip | 47706-0037
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Country | US
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Telephone | 812-401-0797
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Fax | 812-401-0797
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34008939A
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License Number State | IN
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