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General NPI Number Information
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NPI Number | 1720492242
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN PHILLIPS MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 17021 US HIGHWAY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757-6734
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Country | US
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Telephone | 352-720-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 3324 W UNIVERSITY AVE # 366
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City | GAINESVILLE
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State | FL
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Zip | 32607-2540
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Country | US
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Telephone | 214-941-9200
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Fax | 409-772-2663
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10050704
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R3734
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME137545
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License Number State | FL
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