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General NPI Number Information
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NPI Number | 1578661195
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Entity Type | Individual
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Provider Name | DENNIS DILLON PA
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 400 MONTAUK HWY SUITE 108
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City | WEST ISLIP
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State | NY
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Zip | 11795-4429
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Country | US
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Telephone | 631-482-9192
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Fax | 631-482-9195
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Provider Business Mailing Address
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Address Line | 340 MONTAUK HWY STE 1
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City | WEST ISLIP
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State | NY
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Zip | 11795-4437
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Country | US
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Telephone | 631-422-9530
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Fax | 631-376-1208
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 006337
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 006337
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License Number State | NY
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