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General NPI Number Information
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NPI Number | 1467649749
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Entity Type | Organization
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Legal Business Name | MARY DILLON, MD, PLLC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 1901 W CLINCH AVE STE 301E
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City | KNOXVILLE
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State | TN
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Zip | 37916-2307
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Country | US
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Telephone | 865-541-3600
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Fax | 865-541-2352
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Provider Business Mailing Address
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Address Line | 1901 W CLINCH AVE STE 301E
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City | KNOXVILLE
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State | TN
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Zip | 37916-2307
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Country | US
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Telephone | 865-541-3600
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Fax | 865-541-2352
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | MARY E. DILLON
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Credential | MD
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Telephone | 865-541-1726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 37897
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License Number State | TN
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