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General NPI Number Information
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NPI Number | 1841225554
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Entity Type | Individual
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Provider Name | DILLARD ELMORE D.O., MBA
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 280 MIDDLE HOLLAND RD
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4822
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Country | US
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Telephone | 516-410-7720
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Fax |
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Provider Business Mailing Address
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Address Line | 280 MIDDLE HOLLAND RD
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4822
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Country | US
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Telephone | 516-410-7720
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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 | 02008525A
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License Number State | IN
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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 | 036.178802
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License Number State | IL
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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 | 34.017812
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 91055
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101028427
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2021-03386
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS018488
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28-83791
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 237999
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0086274
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License Number State | MD
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 82001-21
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License Number State | WI
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