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General NPI Number Information
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NPI Number | 1750484069
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Entity Type | Individual
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Provider Name | KATHLEEN PHILLIPP M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 301 E 12TH ST
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City | SWEETWATER
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State | TX
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Zip | 79556-2317
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Country | US
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Telephone | 325-235-2869
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Fax | 325-235-2842
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Provider Business Mailing Address
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Address Line | PO BOX 1198
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City | ABILENE
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State | TX
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Zip | 79604-1198
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Country | US
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Telephone | 325-670-4220
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Fax | 325-670-4040
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | G2615
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G2615
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License Number State | TX
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