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General NPI Number Information
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NPI Number | 1619130473
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Entity Type | Individual
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Provider Name | JEFFREY M PHILLIPS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4340 NEWBERRY RD STE 301
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City | GAINESVILLE
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State | FL
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Zip | 32607-2557
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Country | US
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Telephone | 352-372-9414
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Fax | 888-974-6475
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Provider Business Mailing Address
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Address Line | 4340 NEWBERRY RD. SUITE 301
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City | GAINESVILLE
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State | FL
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Zip | 32607-2557
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Country | US
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Telephone | 352-372-9414
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Fax | 888-974-6475
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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 | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | ME118856
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | ME118856
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME118856
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License Number State | FL
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