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General NPI Number Information
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NPI Number | 1467983684
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER DIXON, DDS INC
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 3144 EL CAMINO REAL STE 102
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City | CARLSBAD
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State | CA
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Zip | 92008-2194
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Country | US
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Telephone | 760-585-4985
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Fax | 760-585-4982
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Provider Business Mailing Address
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Address Line | 3144 EL CAMINO REAL STE 102
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City | CARLSBAD
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State | CA
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Zip | 92008-2194
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Country | US
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Telephone | 760-585-4985
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Fax | 760-585-4985
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTOPHER DIXON
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Credential | D.D.S
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Telephone | 760-585-4985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 62300
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License Number State | CA
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