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Individual

ATEIAT Z PHILIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
92
NC
174400000X
Specialist
Primary
9600680
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891082A
NC
Enumeration date
11/01/2006
Last updated
07/01/2010
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