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General NPI Number Information
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NPI Number | 1184610388
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Entity Type | Individual
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Provider Name | FRANCIS M. PHILLIPPI III M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 1800 12TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-4158
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Country | US
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Telephone | 601-703-9471
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Fax | 601-703-9936
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Provider Business Mailing Address
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Address Line | 1800 12TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-4158
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Country | US
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Telephone | 601-703-9471
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Fax | 601-703-9936
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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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | 09508
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 09508
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License Number State | MS
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