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General NPI Number Information
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NPI Number | 1962042978
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Entity Type | Individual
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Provider Name | ERIN NICOLE PHILLIPS M.A., L.P.C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 225 COURT ST
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City | ELYRIA
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State | OH
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Zip | 44035-5512
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Country | US
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Telephone | 440-329-5790
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Fax |
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Provider Business Mailing Address
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Address Line | 123 ELM ST
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City | SOUTH AMHERST
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State | OH
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Zip | 44001-3048
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Country | US
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Telephone | 440-242-8593
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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