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General NPI Number Information
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NPI Number | 1043296726
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Entity Type | Individual
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Provider Name | BRIAN SCOTT DIXON D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 90 BERKSHIRE AVE
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City | SPRINGFIELD
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State | MA
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Zip | 01109-1709
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Country | US
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Telephone | 413-739-7968
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Fax | 413-788-0194
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Provider Business Mailing Address
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Address Line | 90 BERKSHIRE AVE
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City | SPRINGFIELD
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State | MA
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Zip | 01109-1709
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Country | US
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Telephone | 413-596-9874
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1038
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License Number State | MA
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