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General NPI Number Information
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NPI Number | 1700762069
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Entity Type | Individual
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Provider Name | LASHANTA RENEE DIXON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1004 LITTLESTOWN PIKE STE A1
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City | WESTMINSTER
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State | MD
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Zip | 21157-3042
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Country | US
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Telephone | 410-386-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BUTTERFIELD AVE
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City | TANEYTOWN
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State | MD
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Zip | 21787-3600
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Country | US
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Telephone | 667-367-8403
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R245585
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License Number State | MD
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