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Individual
AMY J DIX
Active
Individual
AMY J DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001180
SD
363L00000X
Nurse Practitioner
R198045-9
MN
363L00000X
Nurse Practitioner
RN623381
PA
363LF0000X
Family Nurse Practitioner
SP011508
PA
Other
Enumeration date
07/27/2011
Last updated
10/31/2019
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