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General NPI Number Information
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NPI Number | 1356087092
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Entity Type | Individual
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Provider Name | JULIE PHILLIPS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 555 MARRIOTT DR STE 315
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City | NASHVILLE
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State | TN
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Zip | 37214-5088
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Country | US
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Telephone | 323-205-7088
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Fax | 833-419-0181
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Provider Business Mailing Address
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Address Line | 331 WASHAKIE ST
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City | LANDER
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State | WY
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Zip | 82520-2855
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Country | US
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Telephone | 423-509-5167
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2024-1127
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9386
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License Number State | TN
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