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General NPI Number Information
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NPI Number | 1174518104
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Entity Type | Individual
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Provider Name | KARYNTHIA A PHILLIPS MSM,PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 2275 MURFREESBORO PIKE SUITE 109-110
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City | NASHVILLE
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State | TN
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Zip | 37217-3341
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Country | US
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Telephone | 615-833-6898
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Fax | 615-833-6895
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Provider Business Mailing Address
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Address Line | 2275 MURFREESBORO PIKE SUITE 109-110
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City | NASHVILLE
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State | TN
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Zip | 37217-3341
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Country | US
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Telephone | 615-833-6898
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Fax | 615-833-6895
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA841
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License Number State | TN
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