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General NPI Number Information
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NPI Number | 1942831565
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Entity Type | Individual
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Provider Name | DOREEN PHILLIPS APRN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2020
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 9036 35TH AVE SW STE B
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City | SEATTLE
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State | WA
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Zip | 98126-3821
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Country | US
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Telephone | 832-390-4630
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Fax |
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Provider Business Mailing Address
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Address Line | 14090 SOUTHWEST FWY STE 300
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City | SUGAR LAND
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State | TX
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Zip | 77478-3679
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Country | US
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Telephone | 833-744-5935
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Fax | 833-777-6653
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 859555
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 859555
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1034616
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN95280740
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 258356
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209023667
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95020768
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61160521
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License Number State | WA
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