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General NPI Number Information
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NPI Number | 1437261203
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Entity Type | Individual
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Provider Name | RICKY D PHILLIPS D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 1925 SPRING ST UNIT B
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City | PASO ROBLES
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State | CA
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Zip | 93446-1619
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Country | US
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Telephone | 805-721-0050
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Fax | 52-215-2768
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Provider Business Mailing Address
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Address Line | 1925 SPRING ST UNIT B
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City | PASO ROBLES
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State | CA
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Zip | 93446-1619
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Country | US
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Telephone | 408-388-3441
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Fax | 805-221-5276
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC24558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 24558
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License Number State | CA
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