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General NPI Number Information
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NPI Number | 1932449790
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Entity Type | Individual
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Provider Name | PHILLIP GILLES BSN
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Gender | Male
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 786-596-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2197
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Country | US
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Telephone | 786-266-4119
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9577984
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5185858
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License Number State | FL
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