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General NPI Number Information
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NPI Number | 1205172715
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Entity Type | Organization
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Legal Business Name | PHLOGICS
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 801 E CAMPBELL RD STE 350
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City | RICHARDSON
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State | TX
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Zip | 75081-1889
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Country | US
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Telephone | 469-552-9979
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Fax | 214-910-7908
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Provider Business Mailing Address
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Address Line | PO BOX 720999
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City | DALLAS
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State | TX
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Zip | 75372-0999
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Country | US
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Telephone | 469-552-9979
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Fax | 973-828-0669
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Authorized Official
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Title or Position | CEO
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Name | KENNETH KEI ADAMS
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Credential | MD
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Telephone | 469-552-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | K5441
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License Number State | TX
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