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NPI Code Detail

MEDICARE: MOLLY DIXON M.S., C.G.C

MEDICARE: MOLLY DIXON M.S., C.G.C
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1275790271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY DIXON M.S., C.G.C
Provider Business Mailing Address
First Line : 4321 WASHINGTON ST STE 4000
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5965
Country : US
Telephone Number : 816-932-2079
Fax Number : 816-932-5394
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 4000
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5965
Country : US
Telephone Number : 816-932-2079
Fax Number : 816-932-5394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/19/2008

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