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General NPI Number Information
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NPI Number | 1942758685
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Entity Type | Individual
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Provider Name | PAULA PHILLIPS OT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2016
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3800 W PARK BLVD
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City | PLANO
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State | TX
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Zip | 75075-3542
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Country | US
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Telephone | 972-612-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 ANGEL PKWY STE 400 # 156
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City | ALLEN
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State | TX
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Zip | 75002-2697
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Country | US
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Telephone | 469-629-3762
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 110260
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License Number State | TX
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