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General NPI Number Information
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NPI Number | 1649161415
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Entity Type | Organization
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Legal Business Name | KMHIXSON, PLLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1839 E CAPITOL AVE
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City | BISMARCK
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State | ND
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Zip | 58501-5616
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Country | US
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Telephone | 701-425-7261
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 MANCHESTER ST
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City | BISMARCK
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State | ND
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Zip | 58504-7632
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Country | US
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Telephone | 701-425-7261
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Fax |
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. KATELYN MARY HIXSON
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Credential | DDS
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Telephone | 701-425-7261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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