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General NPI Number Information
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NPI Number | 1992821508
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Entity Type | Individual
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Provider Name | RELLIA ANN DILLINGER ED,S., LPC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 820 W 6TH ST STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72201
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Country | US
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Telephone | 501-244-9950
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Fax | 501-372-9600
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Provider Business Mailing Address
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Address Line | PO BOX 870
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City | LITTLE ROCK
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State | AR
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Zip | 72203-0870
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Country | US
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Telephone | 501-244-9950
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Fax | 501-372-9600
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P8008079
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License Number State | AR
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