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General NPI Number Information
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NPI Number | 1114910254
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Entity Type | Individual
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Provider Name | DUANE PAUL DILLING DO
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 2230 WOODBURY PIKE
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City | LOYSBURG
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State | PA
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Zip | 16659-9506
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Country | US
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Telephone | 814-766-3485
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Fax | 814-766-2379
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Provider Business Mailing Address
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Address Line | PO BOX 158 2230 WOODBURY PIKE
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City | LOYSBURG
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State | PA
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Zip | 16659-0158
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Country | US
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Telephone | 814-766-3485
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Fax | 814-766-2379
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS005846L
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License Number State | PA
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