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General NPI Number Information
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NPI Number | 1992502264
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Entity Type | Individual
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Provider Name | AUSTIN DIXON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 104 MAULDIN RD STE B
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City | GREENVILLE
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State | SC
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Zip | 29605-1221
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Country | US
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Telephone | 864-982-7895
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CAVENDISH CLOSE
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City | TAYLORS
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State | SC
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Zip | 29687-4029
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Country | US
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Telephone |
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 11904
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 11904
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 11904
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License Number State | SC
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