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General NPI Number Information
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NPI Number | 1649550476
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Entity Type | Individual
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Provider Name | ALYSIA DIXON NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1121 N CHURCH ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1007
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Country | US
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Telephone | 336-832-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 COLBY CHASE DR
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City | APEX
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State | NC
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Zip | 27539-9055
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Country | US
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Telephone | 804-306-0658
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Fax | 804-628-0783
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 220239
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License Number State | NC
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