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General NPI Number Information
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NPI Number | 1174871545
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Entity Type | Individual
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Provider Name | COURTNEY MARIE DIXON DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 1221 W. COLONIAL DR.
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City | ORLANDO
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State | FL
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Zip | 32804
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Country | US
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Telephone | 407-619-5754
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Fax |
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Provider Business Mailing Address
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Address Line | 3568 KAYLA CIR
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City | OVIEDO
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State | FL
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Zip | 32765-9284
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Country | US
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Telephone | 407-619-5754
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT27545
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 27545
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License Number State | FL
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