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NPI 1811878283

NPI 1811878283 : ARLEEN LOUISE PHILLIPS MS EDUCATION : PORT HENRY, NY

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General NPI Number Information
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    NPI Number           |    1811878283
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    Entity Type          |    Individual 
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    Provider Name        |    ARLEEN LOUISE PHILLIPS MS EDUCATION
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/10/2025
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    10 ST PATRICK PL 
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    City                 |    PORT HENRY
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    State                |    NY
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    Zip                  |    12974-1200
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    Country              |    US
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    Telephone            |    518-546-3381
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    Fax                  |    518-546-7138
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Provider Business Mailing Address
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    Address Line         |    6643 MAIN ST 
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    City                 |    WESTPORT
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    State                |    NY
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    Zip                  |    12993-2005
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    Country              |    US
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    Telephone            |    518-962-4303
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    Fax                  |    
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    102252071
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    License Number State |    NY
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