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General NPI Number Information
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NPI Number | 1609195304
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Entity Type | Individual
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Provider Name | ARTHUR MICHAEL DIZON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 200 MEDICAL PARK DR STE 250
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City | CONCORD
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State | NC
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Zip | 28025-0933
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Country | US
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Telephone | 704-403-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MEDICAL PARK DR STE 250
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City | CONCORD
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State | NC
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Zip | 28025-0933
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 62064
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License Number State | TN
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