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General NPI Number Information
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NPI Number | 1104137496
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Entity Type | Individual
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Provider Name | ROSETTA D. HIXSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-338-2345
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Fax | 317-583-3099
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Provider Business Mailing Address
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Address Line | PO BOX 35100
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City | BILLINGS
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State | MT
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Zip | 59107-5100
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Country | US
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Telephone | 406-238-2500
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MED-PHYS-LIC-65836
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01096040A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.206370
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0451727
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 206370
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License Number State | LA
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