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General NPI Number Information
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NPI Number | 1528188620
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Entity Type | Individual
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Provider Name | DANIEL EDWARD DILLON DDS
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3677 US ROUTE 60 E
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1636
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Country | US
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Telephone | 304-736-2823
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Fax | 304-736-6362
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Provider Business Mailing Address
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Address Line | 3677 US ROUTE 60 E
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1636
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Country | US
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Telephone | 130-473-6282
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Fax | 130-473-6636
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | WV2782
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License Number State | WV
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