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General NPI Number Information
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NPI Number | 1841747714
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Entity Type | Individual
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Provider Name | SADIE PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 8011 S COOPER ST
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City | ARLINGTON
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State | TX
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Zip | 76001-7087
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Country | US
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Telephone | 214-809-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 6002 HOLLYLEAF DR
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City | ARLINGTON
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State | TX
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Zip | 76017-6422
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Country | US
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Telephone | 214-809-8182
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT102395
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License Number State | TX
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