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General NPI Number Information
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NPI Number | 1306840186
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Entity Type | Individual
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Provider Name | DIXIE IMADA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4748 ENGLE RD STE 103
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City | CARMICHAEL
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State | CA
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Zip | 95608-2232
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Country | US
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Telephone | 916-752-9996
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Fax | 916-486-0188
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Provider Business Mailing Address
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Address Line | 4910 PHELPS CT
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City | CARMICHAEL
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State | CA
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Zip | 95608-6208
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Country | US
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Telephone | 916-359-5244
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Fax | 916-486-0188
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU643
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA4075
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License Number State | CA
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