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General NPI Number Information
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NPI Number | 1407993447
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Entity Type | Organization
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Legal Business Name | DIXIE HEALTH CARE, INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 606 W KEISER AVE
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City | OSCEOLA
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State | AR
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Zip | 72370-3504
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Country | US
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Telephone | 870-563-3833
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Fax | 870-563-3108
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Provider Business Mailing Address
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Address Line | 851 E MAIN ST
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-2521
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Country | US
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Telephone | 870-763-7322
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Fax | 870-763-7420
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | MRS. PAM THOMAS WEBER
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Credential |
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Telephone | 870-763-7322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | AR
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