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NPI Code Detail

MEDICARE: MRS. DIXIE L ABBOTT

MEDICARE: MRS. DIXIE L ABBOTT
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
1376K00000XNurse's Aide050237020209EAR

General Provider Information

NPI Number : 1528298494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIXIE L ABBOTT
Provider Business Mailing Address
First Line : 325 JETSON LOOP
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-9476
Country : US
Telephone Number : 501-767-8146
Fax Number :
Provider Business Practice Location Address
First Line : 325 JETSON LOOP
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-9476
Country : US
Telephone Number : 501-767-8146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2009
Last Update Date : 07/24/2009

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Directions to “ MRS. DIXIE L ABBOTT ” Practice Location

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