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General NPI Number Information
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NPI Number | 1891819819
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Entity Type | Organization
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Legal Business Name | J.M.DILLING,JR.,M.D.JR.,INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 N VAN BUREN ST SUITE 500
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City | ENID
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State | OK
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Zip | 73703-1812
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Country | US
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Telephone | 580-233-2200
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Fax | 580-234-2915
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Provider Business Mailing Address
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Address Line | 3201 N VAN BUREN ST SUITE 500
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City | ENID
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State | OK
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Zip | 73703-1812
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Country | US
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Telephone | 580-233-2200
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Fax | 580-234-2915
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. TRISHA ANN JOHNSON
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Credential |
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Telephone | 580-233-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 9046
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License Number State | OK
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