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General NPI Number Information
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NPI Number | 1184120081
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Entity Type | Individual
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Provider Name | CAROLYN T PHILLIPS M.D
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Gender | Female
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 23803 MCBEAN PKWY SUITE 202
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City | VALENCIA
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State | CA
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Zip | 91355-2001
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Country | US
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Telephone | 661-481-2400
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Fax | 661-255-5626
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Provider Business Mailing Address
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Address Line | PO BOX 9602
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City | MISSION HILLS
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State | CA
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Zip | 91346-9602
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Country | US
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Telephone | 213-394-7921
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Fax |
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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 | A165646
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License Number State | CA
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