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General NPI Number Information
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NPI Number | 1891126694
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Entity Type | Individual
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Provider Name | LAUREN PHILLIPS L.AC, MSOM
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Gender | Female
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 04/02/2017
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Provider Practice Location Address
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Address Line | 1600 N TUCSON BLVD SUITE 100
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City | TUCSON
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State | AZ
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Zip | 85716-3402
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Country | US
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Telephone | 520-345-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 5556 E FAIRMOUNT ST
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City | TUCSON
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State | AZ
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Zip | 85712-4220
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Country | US
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Telephone | 520-345-2886
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0852
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License Number State | AZ
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