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General NPI Number Information
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NPI Number | 1558394965
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Entity Type | Individual
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Provider Name | PRIYA M PHILIP MD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/19/2021
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Provider Practice Location Address
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Address Line | 5205 TOPAZ CT
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City | FLOWER MOUND
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State | TX
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Zip | 75022-8143
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Country | US
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Telephone | 214-616-1967
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Fax | 833-633-6176
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Provider Business Mailing Address
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Address Line | 5205 TOPAZ CT
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City | FLOWER MOUND
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State | TX
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Zip | 75022-8143
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Country | US
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Telephone | 214-616-1967
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Fax | 866-612-6169
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L5513
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License Number State | TX
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