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NPI 1720415664

NPI 1720415664 : CHRISTOPHER LAWRENCE DIXON NP : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1720415664
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER LAWRENCE DIXON NP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2013
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    Last Update Date     |    09/17/2025
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Provider Practice Location Address
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    Address Line         |    115 GRESHAM RD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37918-3209
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    Country              |    US
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    Telephone            |    207-608-5570
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    115 GRESHAM RD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37918-3209
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    Country              |    US
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    Telephone            |    207-608-5570
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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       |    39650
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    License Number State |    TN
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