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General NPI Number Information
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NPI Number | 1285920975
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Entity Type | Individual
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Provider Name | DR. ANJU PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 100 GRAND ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 551-486-1957
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Fax |
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Provider Business Mailing Address
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Address Line | 395 BRITTANY FARMS RD APT 107
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City | NEW BRITAIN
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State | CT
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Zip | 06053-1100
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1.053833
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 53833
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License Number State | CT
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