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General NPI Number Information
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NPI Number | 1770265019
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Entity Type | Individual
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Provider Name | MR. DAMIS F DIXON
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Gender | Male
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 3836 HOLLYCROFT DR
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-6636
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Country | US
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Telephone | 725-261-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 4760 S PECOS RD STE 203-1
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City | LAS VEGAS
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State | NV
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Zip | 89121-6038
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Country | US
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Telephone | 702-966-6306
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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