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General NPI Number Information
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NPI Number | 1982198594
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Entity Type | Individual
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Provider Name | ROBERT LLOYD DICKSON DO
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Gender | Male
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 351 HIGHWAY 64
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City | KILLEN
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State | AL
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Zip | 35645-4829
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Country | US
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Telephone | 256-272-8066
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Fax | 256-272-8375
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Provider Business Mailing Address
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Address Line | 1120 S JACKSON HWY STE 300
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City | SHEFFIELD
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State | AL
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Zip | 35660-5773
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Country | US
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Telephone | 256-383-4447
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO.2186
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License Number State | AL
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