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General NPI Number Information
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NPI Number | 1285683805
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Entity Type | Individual
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Provider Name | ROBERT RAYMOND PHILLIPS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 2550 E BROADWAY ST
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City | HELENA
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State | MT
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Zip | 59601
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Country | US
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Telephone | 406-457-4180
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6369
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City | HELENA
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State | MT
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Zip | 59604-6369
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Country | US
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Telephone | 406-447-2828
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00035268
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36103
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD00035268
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 36103
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License Number State | MT
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