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NPI 1487965471

NPI 1487965471 : JANET GEORGE PHILPS D.O. : ROANOKE, VA

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General NPI Number Information
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    NPI Number           |    1487965471
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    Entity Type          |    Individual 
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    Provider Name        |    JANET GEORGE PHILPS D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/24/2010
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    Last Update Date     |    09/23/2018
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Provider Practice Location Address
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    Address Line         |    3959 ELECTRIC RD STE 280 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24018-4572
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    Country              |    US
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    Telephone            |    540-427-7944
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    Fax                  |    540-427-7945
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Provider Business Mailing Address
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    Address Line         |    PO BOX 20867 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24018-0526
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    Country              |    US
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    Telephone            |    540-427-7944
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    Fax                  |    540-427-7945
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    0102203993
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    License Number State |    VA
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