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General NPI Number Information
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NPI Number | 1427741180
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Entity Type | Individual
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Provider Name | AARON ROBEY PHILLIPS PA
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Gender | Male
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1417 LUCILE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90026-1521
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Country | US
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Telephone | 440-781-2964
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Fax |
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Provider Business Mailing Address
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Address Line | 1417 LUCILE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90026-1521
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Country | US
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Telephone | 440-781-2964
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA63022
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License Number State | CA
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