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General NPI Number Information
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NPI Number | 1285199703
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Entity Type | Individual
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Provider Name | LINDSAY RENEE PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 25150 LAKECREST MANOR DR
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City | KATY
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State | TX
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Zip | 77493-3184
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Country | US
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Telephone | 757-218-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 6718 OAK RUN DR
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City | RICHMOND
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State | TX
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Zip | 77407-8598
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2079051
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License Number State | TX
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