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General NPI Number Information
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NPI Number | 1376600031
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Entity Type | Organization
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Legal Business Name | DIXON FAMILY SERVICES
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 155 N 2ND ST
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City | DIXON
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State | CA
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Zip | 95620-3030
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Country | US
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Telephone | 707-678-0442
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Fax | 707-678-4014
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Provider Business Mailing Address
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Address Line | 155 N 2ND ST PO BOX 716
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City | DIXON
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State | CA
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Zip | 95620-3030
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Country | US
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Telephone | 707-678-0442
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Fax | 707-678-4014
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | COOKIE POWELL
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Credential |
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Telephone | 707-678-0442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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