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NPI 1689406118

NPI 1689406118 : FIONA DILLON PMHNP : INDEPENDENCE, LA

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General NPI Number Information
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    NPI Number           |    1689406118
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    Entity Type          |    Individual 
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    Provider Name        |    FIONA DILLON PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2024
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    Last Update Date     |    02/14/2026
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Provider Practice Location Address
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    Address Line         |    336 E RAILROAD AVE 
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    City                 |    INDEPENDENCE
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    State                |    LA
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    Zip                  |    70443-2710
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    Country              |    US
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    Telephone            |    225-306-2060
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    Fax                  |    225-308-2572
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Provider Business Mailing Address
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    Address Line         |    PO BOX 770 
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    City                 |    ZACHARY
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    State                |    LA
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    Zip                  |    70791-0770
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    Country              |    US
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    Telephone            |    225-306-2067
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    Fax                  |    985-229-6828
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    80379
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    236167
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    License Number State |    LA
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