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General NPI Number Information
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NPI Number | 1760888655
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Entity Type | Individual
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Provider Name | LOIS M. DIXON AGNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 3710 KENNETT PIKE
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City | GREENVILLE
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State | DE
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Zip | 19807-2157
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Country | US
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Telephone | 302-623-6300
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Fax | 302-623-6306
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DRIVE SUITE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone | 610-268-3631
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Fax | 302-733-1968
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | LP-000123
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | LP-000123
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | LP-0000123
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | LP-0000123
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License Number State | DE
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