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General NPI Number Information
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NPI Number | 1356541189
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Entity Type | Individual
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Provider Name | RENEELYNN MONICA DIXON MD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 W UNIVERSITY AVE RCS PROVIDER ENROLLMENT
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City | MUNCIE
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State | IN
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Zip | 47303-3428
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Country | US
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Telephone | 765-747-3111
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Fax | 765-751-2757
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01075702A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036127540
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License Number State | IL
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