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Individual
PHILIP DODD
Active
Individual
PHILIP DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
668952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331200102
—
TX
01
—
668952
FAMILY NURSE PRACTITIONER LICENSE
TX
Enumeration date
02/21/2014
Last updated
12/17/2021
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