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General NPI Number Information
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NPI Number | 1821472218
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Entity Type | Individual
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Provider Name | STEPHANIE DILLON D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 101 E W T HARRIS BLVD STE 1110
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City | CHARLOTTE
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State | NC
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Zip | 28262-3454
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Country | US
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Telephone | 704-863-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 356 CODDLE MARKET DR NW UNIT D
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City | CONCORD
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State | NC
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Zip | 28027-2423
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Country | US
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Telephone | 304-610-8405
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3413
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS20815
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 202500539
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License Number State | NC
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