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General NPI Number Information
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NPI Number | 1780868463
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Entity Type | Organization
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Legal Business Name | ROBERT H. DIXON, M.D., P.A.
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | BATH
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State | ME
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Zip | 04530-2721
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Country | US
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Telephone | 207-443-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 20 YORK ST
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City | BATH
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State | ME
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Zip | 04530-2721
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Country | US
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Telephone | 207-443-4511
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT H DIXON
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Credential | M.D.
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Telephone | 207-443-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 6933
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License Number State | ME
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