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General NPI Number Information
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NPI Number | 1750177234
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Entity Type | Individual
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Provider Name | PATRICIA DIXON MS
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 3500 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4395
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Country | US
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Telephone | 215-590-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 125 W ROSEDALE AVE FL 8
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City | WEST CHESTER
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State | PA
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Zip | 19383-2004
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Country | US
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Telephone | 610-436-2510
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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