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General NPI Number Information
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NPI Number | 1326828732
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Entity Type | Individual
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Provider Name | HALLEA DIXON RN
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Gender | Female
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1424 ROWAN CT
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City | MARIETTA
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State | GA
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Zip | 30066-2752
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Country | US
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Telephone | 808-333-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 1424 ROWAN CT
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City | MARIETTA
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State | GA
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Zip | 30066-2752
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Country | US
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Telephone | 808-333-4044
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 1-174592
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | NA
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License Number State | GA
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