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General NPI Number Information
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NPI Number | 1093667875
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Entity Type | Individual
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Provider Name | DIXIE LEE DAVIS SCHOOL PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 41535 OLD HIGHWAY 30
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City | ASTORIA
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State | OR
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Zip | 97103-8640
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Country | US
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Telephone | 503-458-5993
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 569
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City | WOODLAND
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State | WA
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Zip | 98674-0600
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 132826
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License Number State | OR
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