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General NPI Number Information
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NPI Number | 1699263707
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Entity Type | Individual
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Provider Name | LINDA DIXON RDH
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 1408 N HIGHLAND AVE STE 102
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City | JACKSON
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State | TN
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Zip | 38301-3450
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Country | US
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Telephone | 731-736-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 PLEASANT ST UNIT 421
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City | OAK PARK
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State | IL
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Zip | 60302-0007
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Country | US
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Telephone | 773-456-2103
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 020007044
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH0000008134
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License Number State | TN
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