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General NPI Number Information
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NPI Number | 1740219674
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Entity Type | Organization
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Legal Business Name | ERROL A PHILLIP MD PA
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 2002 MEDICAL PKWY SUITE 670
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3046
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Country | US
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Telephone | 410-481-1150
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Fax | 410-224-0065
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Provider Business Mailing Address
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Address Line | PO BOX 64713
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City | BALTIMORE
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State | MD
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Zip | 21264-4713
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Country | US
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Telephone | 443-481-6538
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Fax | 443-481-6515
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERROL A PHILLIP
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Credential | M.D.
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Telephone | 443-481-1150
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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 | D0009453
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License Number State | MD
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