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General NPI Number Information
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NPI Number | 1437083276
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Entity Type | Individual
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Provider Name | DILLON GENE MANION PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 2099 E EDWARDSVILLE RD
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City | WOOD RIVER
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State | IL
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Zip | 62095-2211
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Country | US
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Telephone | 618-217-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 3545 WEST RD
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City | PARK HILLS
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State | MO
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Zip | 63601-8115
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2026023734
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License Number State | MO
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