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General NPI Number Information
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NPI Number | 1609665348
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Entity Type | Individual
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Provider Name | MICHAELINA MARIE PHILPOTT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 6801 EMMETT F LOWRY EXPY
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City | TEXAS CITY
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State | TX
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Zip | 77591-2500
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Country | US
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Telephone | 409-938-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 TEXAS TRAIL LN
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City | MANVEL
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State | TX
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Zip | 77578-3263
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Country | US
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Telephone | 765-586-4936
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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 | 1179641
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License Number State | TX
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