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General NPI Number Information
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NPI Number | 1508020777
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Entity Type | Individual
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Provider Name | TRACY DILLINGHAM CNP / CNM
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 2314 AUBURN AVENUE
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-287-6484
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Fax | 513-287-6580
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Provider Business Mailing Address
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Address Line | 2314 AUBURN AVENUE
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-721-7635
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Fax | 513-721-2313
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NM-11023
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.13917-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | COA.10023-NM
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License Number State | OH
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