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General NPI Number Information
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NPI Number | 1992571095
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Entity Type | Individual
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Provider Name | ANDREW DIXON LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 325 E 31ST ST STE 25
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City | KANSAS CITY
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State | MO
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Zip | 64108-3219
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Country | US
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Telephone | 816-237-0173
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Fax |
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Provider Business Mailing Address
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Address Line | 7521 N STARK AVE
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City | KANSAS CITY
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State | MO
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Zip | 64158-1072
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Country | US
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Telephone | 469-865-8760
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06780
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12521
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2024046760
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2022023556
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License Number State | MO
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