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General NPI Number Information
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NPI Number | 1881643443
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Entity Type | Individual
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Provider Name | PHILIP JAMES VILLIOTTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 406 YACHT CLUB LN
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City | SAINT SIMONS ISLAND
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State | GA
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Zip | 31522-2311
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Country | US
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Telephone | 207-944-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 406 YACHT CLUB LN
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City | SAINT SIMONS ISLAND
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State | GA
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Zip | 31522-2311
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Country | US
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Telephone |
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 84661
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME15309
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License Number State | ME
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