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General NPI Number Information
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NPI Number | 1518288562
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Entity Type | Organization
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Legal Business Name | DALE W. DROLLINGER, M.D., INC
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 5676 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2206
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Country | US
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Telephone | 937-436-1854
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Fax | 937-436-1459
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Provider Business Mailing Address
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Address Line | 5676 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2206
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Country | US
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Telephone | 937-436-1854
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Fax | 937-436-1459
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DALE WILLIAM DROLLINGER
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Credential | M.D.
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Telephone | 937-436-1854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11516NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35050973
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License Number State | OH
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