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General NPI Number Information
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NPI Number | 1346510591
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Entity Type | Organization
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Legal Business Name | JAMES B PHILLIPS, MS, DDS, PA
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 2609 BROWNS LN
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City | JONESBORO
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State | AR
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Zip | 72401-7227
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Country | US
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Telephone | 870-931-3000
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Fax | 870-931-0190
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Provider Business Mailing Address
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Address Line | 2609 BROWNS LN
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City | JONESBORO
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State | AR
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Zip | 72401-7227
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Country | US
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Telephone | 870-931-3000
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Fax | 870-931-0190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES B PHILLIPS
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Credential | MS, DDS
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Telephone | 870-931-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2341
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License Number State | AR
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