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NPI Code Detail

MEDICARE: AMY DILLON

MEDICARE: AMY DILLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.0701254OH

General Provider Information

NPI Number : 1740641448
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY DILLON
Provider Business Mailing Address
First Line : 120 W MAIN ST
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1654
Country : US
Telephone Number : 740-550-2611
Fax Number :
Provider Business Practice Location Address
First Line : 419 VERNON ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1637
Country : US
Telephone Number : 740-479-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2016
Last Update Date : 07/12/2023

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Directions to “ AMY DILLON ” Practice Location

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