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General NPI Number Information
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NPI Number | 1992988521
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Entity Type | Organization
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Legal Business Name | NEAL P. DIXON, M.D., A GENERAL SURGICAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 2438 N PONDEROSA DR C-207
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City | CAMARILLO
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State | CA
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Zip | 93010-2369
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Country | US
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Telephone | 805-484-3513
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Fax | 805-484-3961
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Provider Business Mailing Address
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Address Line | 2438 N PONDEROSA DR C-207
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City | CAMARILLO
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State | CA
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Zip | 93010-2369
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Country | US
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Telephone | 805-484-3513
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Fax | 805-484-3961
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ROBIN SCHMIDT
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Credential |
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Telephone | 805-484-3513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G46609
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License Number State | CA
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