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General NPI Number Information
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NPI Number | 1932270881
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Entity Type | Individual
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Provider Name | CAMILLE YVETTE DIXON APRN, MSN, ACNP-BC,
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 6720 BERTNER ST MC 4-278, BOX 112
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-355-7035
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Fax |
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Provider Business Mailing Address
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Address Line | 12414 CHALMETTE ST
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City | HOUSTON
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State | TX
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Zip | 77015-3333
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Country | US
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Telephone | 713-451-3022
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 571626
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License Number State | TX
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