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General NPI Number Information
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NPI Number | 1679712533
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Entity Type | Individual
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Provider Name | SUMMER LEE DIXON D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2009
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 801 W INTERSTATE 20
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City | ARLINGTON
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State | TX
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Zip | 76017-5851
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Country | US
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Telephone | 817-472-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 6451 BRENTWOOD STAIR RD STE 200
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City | FT WORTH
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State | TX
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Zip | 76112-3200
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Country | US
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Telephone | 34-525-5829
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | S1072
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License Number State | TX
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