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General NPI Number Information
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NPI Number | 1346447406
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Entity Type | Individual
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Provider Name | JOYCE ANN PHILLIPS L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7313 HIGHBRIDGE RD
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-9779
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Country | US
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Telephone | 315-447-5231
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Fax |
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Provider Business Mailing Address
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Address Line | 7329 STATE ROUTE 80
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City | FABIUS
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State | NY
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Zip | 13063-9741
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Country | US
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Telephone | 315-447-5231
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 010669
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License Number State | NY
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