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General NPI Number Information
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NPI Number | 1588677835
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Entity Type | Organization
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Legal Business Name | DEBORAH K PHILLIPS MDPA
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 3838 WATER WORKS PLACE
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City | LEXINGTON
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State | KY
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Zip | 40515
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Country | US
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Telephone | 903-736-3337
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Fax | 859-277-0466
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Provider Business Mailing Address
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Address Line | PO BOX 817
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City | LEXINGTON
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State | KY
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Zip | 40588-0817
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Country | US
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Telephone | 903-736-3337
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Fax | 859-277-0466
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Authorized Official
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Title or Position | PRESIDANT
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Name | DR. DEBORAH K PHILLIPS
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Credential | M.D.
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Telephone | 903-736-3337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | H8322
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License Number State | TX
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