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NPI 1821775727

NPI 1821775727 : FRANK DILLON PHD : TEMPE, AZ

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General NPI Number Information
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    NPI Number           |    1821775727
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK DILLON PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/03/2023
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    Last Update Date     |    07/03/2023
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Provider Practice Location Address
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    Address Line         |    1151 S FOREST AVE 
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    City                 |    TEMPE
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    State                |    AZ
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    Zip                  |    85281-2001
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    Country              |    US
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    Telephone            |    480-622-4721
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7423 W ROBIN LN 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85310-5679
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    Country              |    US
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    Telephone            |    
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    PSY-004967
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    License Number State |    AZ
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