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General NPI Number Information
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NPI Number | 1275339699
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Entity Type | Individual
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Provider Name | CECILIA DIXON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 180 MAGEE LN
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City | GROVETON
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State | TX
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Zip | 75845-4185
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Country | US
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Telephone | 936-642-0841
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Fax |
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Provider Business Mailing Address
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Address Line | 111 DEER POND RD
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City | LUFKIN
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State | TX
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Zip | 75904-0681
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Country | US
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Telephone | 936-635-3871
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F01250464
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License Number State | TX
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