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General NPI Number Information
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NPI Number | 1871633768
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Entity Type | Individual
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Provider Name | DAN M PHILLIPS MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 406 US 1 HWY STE A
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-7847
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Country | US
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Telephone | 919-679-1880
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Fax | 800-507-0902
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Provider Business Mailing Address
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Address Line | 464 SHADY OAK RD
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City | ROXBORO
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State | NC
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Zip | 27574-9051
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Country | US
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Telephone | 336-322-4333
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 39060
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License Number State | NC
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