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General NPI Number Information
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NPI Number | 1043596604
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Entity Type | Individual
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Provider Name | BETTY GAY DILLON APRN, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 1340 HAL GREER BLVD
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City | HUNTINGTON
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State | WV
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Zip | 25701-3800
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Country | US
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Telephone | 304-526-2370
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Fax | 304-526-6303
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Provider Business Mailing Address
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Address Line | 1340 HAL GREER BOULEVARD ATTN: TAMMIE SILVA
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City | HUNTINGTON
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State | WV
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Zip | 25701-3800
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Country | US
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Telephone | 304-526-2370
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Fax | 304-526-6303
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN31625-NNP-BC
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License Number State | WV
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