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General NPI Number Information
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NPI Number | 1770087165
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Entity Type | Individual
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Provider Name | CHLOE DENEEN DIXON
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 3192 E TENTH ST
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City | GREENVILLE
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State | NC
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Zip | 27858-4296
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Country | US
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Telephone | 252-754-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 304 JULIE CIR
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City | GREENVILLE
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State | NC
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Zip | 27858-8794
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Country | US
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Telephone | 252-916-5697
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | C72881
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License Number State | NC
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