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Individual
TARA RENE DIXON
Active
Individual
TARA RENE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9310040
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9310040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019157600
—
FL
01
—
1AABR
FLORIDA BLUE
FL
Enumeration date
05/11/2016
Last updated
07/16/2025
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