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General NPI Number Information
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NPI Number | 1699966689
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Entity Type | Individual
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Provider Name | PHILLIP M DOVE
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1220 MAIN ST STE 400
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City | VANCOUVER
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State | WA
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Zip | 98660-2963
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Country | US
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Telephone | 866-849-0692
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3300
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City | LA PINE
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State | OR
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Zip | 97739-3300
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Country | US
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Telephone | 541-536-3435
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Fax | 541-536-8047
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 49890
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2025003432
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C3453
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35C.002018
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44657
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD157489
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License Number State | OR
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 102314
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01095251A
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License Number State | IN
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34326
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License Number State | MS
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MMD.95392
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License Number State | SC
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Taxonomy #11
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36172778
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 75436
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License Number State | AZ
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Taxonomy #13
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 72878
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License Number State | TN
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Taxonomy #14
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60152937
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License Number State | WA
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Taxonomy #15
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 14188850-1235
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License Number State | UT
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