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General NPI Number Information
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NPI Number | 1235080029
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Entity Type | Individual
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Provider Name | TORRICK DIXON
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Gender | Male
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 115 BUCKLEY ST
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City | LIBERTY
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State | NY
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Zip | 12754-1601
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Country | US
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Telephone | 845-303-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 6339 MILL ST
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City | RHINEBECK
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State | NY
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Zip | 12572-1427
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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