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General NPI Number Information
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NPI Number | 1205607074
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Entity Type | Individual
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Provider Name | LEMOINE TROI DILLON DMD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4051 STONE MOUNTAIN HWY STE F101
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City | LILBURN
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State | GA
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Zip | 30047-3364
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Country | US
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Telephone | 678-691-9064
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Fax |
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Provider Business Mailing Address
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Address Line | 4051 STONE MOUNTAIN HWY STE F101
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City | LILBURN
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State | GA
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Zip | 30047-3364
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Country | US
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Telephone | 678-691-9064
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401419239
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13907
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN124013
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License Number State | GA
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