MEDICARE: DAWN E EDELMAN MS. L.AC.

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
1	171100000X	Acupuncturist	A01008	TX

General Provider Information

NPI Number	:	1295075687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN E EDELMAN MS. L.AC.

Provider Business Mailing Address
First Line	:	9340 PENINSULA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-2735
Country	:	US
Telephone Number	:	214-681-3576
Fax Number	:	214-828-4558

Provider Business Practice Location Address
First Line	:	6023 MORNINGSIDE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5923
Country	:	US
Telephone Number	:	214-681-3576
Fax Number	:	214-828-4558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	02/21/2013

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