MEDICARE: TANEJA DIXON LPN

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
1	163WC1500X	Community Health Registered Nurse	552015	OH

General Provider Information

NPI Number	:	1407680531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANEJA DIXON LPN

Provider Business Mailing Address
First Line	:	321 AVALON PL
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-3736
Country	:	US
Telephone Number	:	567-970-6288
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 AVALON PL
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43611-3736
Country	:	US
Telephone Number	:	567-970-6288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	02/23/2026

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Directions to “ TANEJA DIXON LPN” Practice Location

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