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General NPI Number Information
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NPI Number | 1336884253
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Entity Type | Individual
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Provider Name | LAWSON DAVIS DIXON MA, LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 219 COMMERCE ST STE D
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City | GREENVILLE
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State | NC
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Zip | 27858-5031
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Country | US
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Telephone | 252-758-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 624 JADE LN
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City | WINTERVILLE
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State | NC
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Zip | 28590-4401
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Country | US
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Telephone | 252-347-8743
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A18707
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License Number State | NC
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