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General NPI Number Information
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NPI Number | 1205835675
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Entity Type | Individual
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Provider Name | PHILIP REX WEBB M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 12/02/2009
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Provider Practice Location Address
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Address Line | 200 WALNUT ST
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City | RANGER
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State | TX
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Zip | 76470-2054
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Country | US
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Telephone | 254-647-1182
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Fax | 254-647-3133
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Provider Business Mailing Address
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Address Line | 200 WALNUT ST
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City | RANGER
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State | TX
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Zip | 76470-2054
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Country | US
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Telephone | 254-647-1182
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Fax | 254-647-3133
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F4660
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License Number State | TX
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