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General NPI Number Information
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NPI Number | 1992949671
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Entity Type | Individual
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Provider Name | JONI RENEE DILLON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 15901 CENTRAL COMMERCE DR SUITE 301
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2041
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Country | US
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Telephone | 512-608-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 4406 OAK CREEK DR
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City | AUSTIN
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State | TX
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Zip | 78727-2829
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Country | US
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Telephone | 512-608-1300
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101890
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License Number State | TX
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