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General NPI Number Information
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NPI Number | 1144069253
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Entity Type | Individual
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Provider Name | TIMOTHY ANDREW MIXSON DDS
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Gender | Male
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 8847 VETERANS MEMORIAL BLVD
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City | METAIRIE
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State | LA
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Zip | 70003-7707
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Country | US
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Telephone | 504-533-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 7612 FRERET ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5010
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Country | US
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Telephone | 334-728-1292
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0000000
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License Number State | AL
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