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General NPI Number Information
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NPI Number | 1659865087
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Entity Type | Individual
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Provider Name | PHYLLIS FRANKLIN DIXON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 34 NW BROAD ST
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City | METTER
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State | GA
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Zip | 30439-4025
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Country | US
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Telephone | 912-685-4040
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Fax | 478-237-9138
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Provider Business Mailing Address
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Address Line | 1299 US HIGHWAY 80 E
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City | SWAINSBORO
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State | GA
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Zip | 30401-4551
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Country | US
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Telephone | 478-494-0421
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP144945
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License Number State | GA
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