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General NPI Number Information
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NPI Number | 1336105188
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Entity Type | Individual
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Provider Name | ELIZABETH M DIXON M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 3925 JOHNS CREEK COURT SUTIE A
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 770-709-6922
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Fax | 770-709-6910
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Provider Business Mailing Address
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Address Line | 4025 ANSON AVE
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City | ALPHARETTA
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State | GA
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Zip | 30022-1134
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Country | US
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Telephone | 502-435-0198
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Fax | 770-709-6910
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 61985
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.134792
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C1-0012870
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 58114
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME138304
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 070877
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License Number State | GA
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