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General NPI Number Information
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NPI Number | 1538892740
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Entity Type | Individual
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Provider Name | ABIGAIL LEE DALZELL-DIXON NP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4 CLEMENT WAY # 27
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City | BELGRADE
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State | ME
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Zip | 04917-4370
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Country | US
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Telephone | 207-495-3323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 727
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City | WATERVILLE
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State | ME
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Zip | 04903-0727
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Country | US
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Telephone |
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Fax |
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN77634
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP221329
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License Number State | ME
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