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General NPI Number Information
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NPI Number | 1629057401
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Entity Type | Organization
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Legal Business Name | DILLON FAMILY MEDICINE, P.A.
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 603 N 6TH AVE
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City | DILLON
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State | SC
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Zip | 29536-2503
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Country | US
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Telephone | 843-774-7336
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Fax | 843-774-5656
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Provider Business Mailing Address
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Address Line | 603 N 6TH AVE P O BOX 1069
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City | DILLON
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State | SC
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Zip | 29536-2503
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Country | US
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Telephone | 843-774-7336
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Fax | 843-774-5656
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MICHAEL N BROWN
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Credential | M.D.
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Telephone | 843-774-7336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 8827
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License Number State | SC
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