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General NPI Number Information
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NPI Number | 1750922209
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Entity Type | Individual
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Provider Name | PAUL FRANKLIN NIXON FNP
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Gender | Male
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 550 S CRAFT STREET
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City | HOLLY SPRINGS
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State | MS
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Zip | 38635
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Country | US
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Telephone | 662-274-3218
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Fax |
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Provider Business Mailing Address
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Address Line | 1879 MANOR PLACE DR
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City | HERNANDO
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State | MS
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Zip | 38632-1649
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Country | US
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Telephone | 662-251-0481
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 903339
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 903339
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License Number State | MS
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