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NPI 1003900457

NPI 1003900457 : DIXON LEE ROBISON M.D. : BUTTE, MT

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General NPI Number Information
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    NPI Number           |    1003900457
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    Entity Type          |    Individual 
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    Provider Name        |    DIXON LEE ROBISON M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    08/08/2024
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Provider Practice Location Address
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    Address Line         |    24 E BROADWAY ST 
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    City                 |    BUTTE
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    State                |    MT
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    Zip                  |    59701-9334
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    Country              |    US
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    Telephone            |    406-723-7272
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    Fax                  |    406-723-3328
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Provider Business Mailing Address
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    Address Line         |    7300 RANCH ROAD 2222, BUILDING 1, STE 200 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78730
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    Country              |    US
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    Telephone            |    512-628-0465
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    Fax                  |    512-233-2711
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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        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    7576
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    License Number State |    MT
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