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General NPI Number Information
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NPI Number | 1891150231
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Entity Type | Organization
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Legal Business Name | SHARON DILLON MD, PA
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 3150 N WICKHAM RD STE 6
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City | MELBOURNE
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State | FL
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Zip | 32935-2322
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Country | US
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Telephone | 321-242-3227
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Fax | 321-242-4934
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Provider Business Mailing Address
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Address Line | 3150 N WICKHAM RD STE 6
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City | MELBOURNE
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State | FL
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Zip | 32935-2322
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Country | US
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Telephone | 321-242-3227
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Fax | 321-242-4934
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARON A. DILLON
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Credential | MD
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Telephone | 321-242-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME63734
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License Number State | FL
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