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General NPI Number Information
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NPI Number | 1912905753
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Entity Type | Individual
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Provider Name | ANGELA K PHILLIPS RN, MSN, CS, FNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4400 S WASHINGTON ST SUITE 107
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City | AMARILLO
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State | TX
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Zip | 79110-2052
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Country | US
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Telephone | 806-355-5721
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Fax | 806-355-5775
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Provider Business Mailing Address
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Address Line | 7501 STUYVESANT AVE
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City | AMARILLO
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State | TX
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Zip | 79121-1907
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Country | US
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Telephone | 806-355-5721
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Fax | 806-355-5775
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 559456
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License Number State | TX
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