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General NPI Number Information
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NPI Number | 1881670982
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Entity Type | Individual
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Provider Name | DONNA KAY PHILIPPI D.O.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 1550 E. 3300 S.
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City | SALT LAKE CITY
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State | UT
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Zip | 84106
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Country | US
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Telephone | 801-631-1624
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Fax | 801-210-7426
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Provider Business Mailing Address
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Address Line | 1550 E. 3300 S.
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City | SALT LAKE CITY
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State | UT
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Zip | 84106
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Country | US
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Telephone | 801-631-1624
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Fax | 801-210-7426
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 3233441204
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 323344-1204
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License Number State | UT
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