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General NPI Number Information
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NPI Number | 1770991259
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Entity Type | Individual
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Provider Name | ROBERT C. PHILLIPS M.A., L.P.C.C.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 595 E COLORADO BLVD STE 205
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City | PASADENA
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State | CA
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Zip | 91101-2028
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Country | US
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Telephone | 626-708-0344
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Fax |
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Provider Business Mailing Address
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Address Line | 160 S 7TH AVE
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City | LA PUENTE
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State | CA
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Zip | 91746-3211
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Country | US
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Telephone | 626-974-0770
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Fax | 626-974-0774
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC8666
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License Number State | CA
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