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1376530287 NPI number — MICHAEL DEAN DIXSON M.D.

NPI Number: 1376530287
Health Care Provider/Practitioner: MICHAEL DEAN DIXSON M.D.

Information about “1376530287” NPI (MICHAEL DEAN DIXSON M.D.) exists in 1376530287 in HTML format HTML  |  1376530287 in plain Text format TXT  |  1376530287 in PDF (Portable Document Format) PDF  |  1376530287 in an XML format XML  formats.

NPI Number : 1376530287 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376530287",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIXSON",
    "FirstName": "MICHAEL",
    "MiddleName": "DEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "105 W 8TH AVE",
    "SecondLineMailingAddress": "SUITE 6010",
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99204-2302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-838-5950",
    "MailingAddressFaxNumber": "509-838-5961",
    "FirstLinePracticeLocationAddress": "46 E ROWAN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99207-1232",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-487-1669",
    "PracticeLocationAddressFaxNumber": "509-483-3457",
    "EnumerationDate": "10/05/2005",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": "MD00016586",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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