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General NPI Number Information
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NPI Number | 1699558312
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Entity Type | Individual
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Provider Name | DAKOTA DIXON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1825 E NETTLETON AVE STE D
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City | JONESBORO
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State | AR
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Zip | 72401-5152
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Country | US
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Telephone | 870-520-8761
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Fax |
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Provider Business Mailing Address
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Address Line | 41 COUNTY ROAD 100 APT 207
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City | BONO
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State | AR
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Zip | 72416-8707
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Country | US
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Telephone | 870-213-7214
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT5313
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License Number State | AR
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