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General NPI Number Information
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NPI Number | 1750171989
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Entity Type | Individual
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Provider Name | LORI ANN NIXON FNP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 23659 COLUMBUS RD
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City | COLUMBUS
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State | NJ
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Zip | 08022-1980
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Country | US
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Telephone | 609-298-3304
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HUNTER DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-9788
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Country | US
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Telephone | 609-902-7095
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26NJ15254100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ15254100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15254100
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License Number State | NJ
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