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General NPI Number Information
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NPI Number | 1447490487
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Entity Type | Individual
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Provider Name | MS. YVONDA L DIXON
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Gender | Female
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 03/04/2009
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Provider Practice Location Address
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Address Line | 7808 PEARVIEW LN
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City | LOUISVILLE
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State | KY
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Zip | 40218
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Country | US
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Telephone | 502-962-8200
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Fax | 502-290-1193
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Provider Business Mailing Address
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Address Line | P.O. BOX 22754 SPECIAL MEDICAL CARE
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City | LOUISVILLE
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State | KY
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Zip | 40252
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Country | US
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Telephone | 502-962-8200
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Fax | 502-290-1193
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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