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General NPI Number Information
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NPI Number | 1366805533
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Entity Type | Organization
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Legal Business Name | DILLON INTERNATIONAL
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 7335 S LEWIS AVE SUITE 302
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City | TULSA
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State | OK
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Zip | 74136-6845
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Country | US
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Telephone | 918-749-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 7335 S. LEWIS AVE SUITE 302
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-749-4600
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF LIFETIME SUPPORT SERVIC
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Name | LISA MARIE LEUNG
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Credential | MSW
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Telephone | 918-748-5603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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