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General NPI Number Information
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NPI Number | 1699709097
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Entity Type | Individual
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Provider Name | ROBERT EDWARD DILLON JR. MS, ARNP
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 428 LAFAYETTE RD APT 101
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City | HAMPTON
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State | NH
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Zip | 03842-2268
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Country | US
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Telephone | 603-395-1724
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Fax | 888-979-8717
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Provider Business Mailing Address
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Address Line | 428 LAFAYETTE RD APT 101 PO BOX 171
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City | HAMPTON
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State | NH
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Zip | 03842-2268
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Country | US
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Telephone | 603-395-1724
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Fax | 888-979-8717
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 046771-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 046771-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 046771-23
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number | 046771-23
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License Number State | NH
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