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General NPI Number Information
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NPI Number | 1316917628
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Entity Type | Individual
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Provider Name | HANNAH M PHILLIPS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 11219 FINANCIAL CENTRE PARKWAY SUITE 314
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City | LITTLE ROCK
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State | AR
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Zip | 72211
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Country | US
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Telephone | 501-221-9966
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Fax | 501-221-3675
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Provider Business Mailing Address
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Address Line | P.O. BOX 22664
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City | LITTLE ROCK
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State | AR
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Zip | 72221
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Country | US
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Telephone | 501-225-4556
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Fax | 501-225-4556
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C-7136
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License Number State | AR
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