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General NPI Number Information
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NPI Number | 1669983201
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Entity Type | Organization
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Legal Business Name | SCOTT B PHILLIPS PLLC
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 12/02/2023
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Provider Practice Location Address
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Address Line | 1912 LOOP 11
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City | WICHITA FALLS
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State | TX
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Zip | 76306-4921
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Country | US
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Telephone | 940-263-1551
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Fax | 833-620-2407
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Provider Business Mailing Address
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Address Line | 1912 LOOP 11
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City | WICHITA FALLS
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State | TX
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Zip | 76306-4921
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Country | US
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Telephone | 940-263-1551
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Fax | 833-620-2407
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT B PHILLIPS
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Credential | MD
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Telephone | 940-263-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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