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General NPI Number Information
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NPI Number | 1659692929
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Entity Type | Individual
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Provider Name | DANIEL DIXON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 2740 SOUTH AVE W STE 101
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City | MISSOULA
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State | MT
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Zip | 59804-5137
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Country | US
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Telephone | 406-728-6101
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Fax | 406-721-3278
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Provider Business Mailing Address
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Address Line | 2740 SOUTH AVE W STE 101
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City | MISSOULA
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State | MT
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Zip | 59804-5137
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Country | US
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Telephone | 406-728-6101
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Fax | 406-721-3278
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 14077
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2015-00189
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301096367
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 14077
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 72252
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License Number State | MT
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