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General NPI Number Information
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NPI Number | 1497783799
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Entity Type | Individual
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Provider Name | CLAUDIA PHILLIPS FNP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MERCY MEDICAL CENTER 271 CAREW ST
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City | SPRINGFIELD
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State | MA
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Zip | 01102
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Country | US
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Telephone | 413-748-9064
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Fax | 413-748-9049
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Provider Business Mailing Address
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Address Line | 81 LONG PLAIN RD
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City | LEVERETT
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State | MA
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Zip | 01054-9523
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Country | US
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Telephone | 413-548-9283
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 169506
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License Number State | MA
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