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NPI Code Detail

MEDICARE: MS. ALEXIS M DIXON LMSW

MEDICARE: MS. ALEXIS M DIXON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker8707OK

General Provider Information

NPI Number : 1306294061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALEXIS M DIXON LMSW
Provider Business Mailing Address
First Line : 14400 BOGERT PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2652
Country : US
Telephone Number : 405-213-9113
Fax Number :
Provider Business Practice Location Address
First Line : 14400 BOGERT PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2652
Country : US
Telephone Number : 405-213-9113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2016
Last Update Date : 11/22/2024

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