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General NPI Number Information
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NPI Number | 1023396900
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Entity Type | Individual
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Provider Name | AMY J DIX CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 6100 S LOUISE AVE STE 1130
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City | SIOUX FALLS
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State | SD
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Zip | 57108-6021
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Country | US
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Telephone | 605-504-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 S. CLIFF AVE. STE 300
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1032
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Country | US
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Telephone | 605-322-6625
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN623381
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R198045-9
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP011508
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CP001180
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License Number State | SD
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