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General NPI Number Information
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NPI Number | 1336118801
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Entity Type | Individual
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Provider Name | JEROME M DILLING JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 3201 N VAN BUREN ST SUITE 500
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City | ENID
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State | OK
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Zip | 73703-1812
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Country | US
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Telephone | 580-977-1907
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Fax | 580-234-5161
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Provider Business Mailing Address
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Address Line | 5300 N INDEPENDENCE AVE 280
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5556
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Country | US
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Telephone | 580-977-1907
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Fax | 580-234-5161
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 9046
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License Number State | OK
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