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General NPI Number Information
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NPI Number | 1437612538
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Entity Type | Individual
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Provider Name | RONALD E PHILLIPS PHD, APRN, AGACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1092
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Country | US
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Telephone | 510-437-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SETON PKWY
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City | ROUND ROCK
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State | TX
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Zip | 78665-8000
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95011464
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 839048
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1189480
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 1189480
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1189480
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 839048
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 839048
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License Number State | NV
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Taxonomy #8
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 95011464
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 95011464
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License Number State | CA
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