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NPI Code Detail

MEDICARE: SHEREE DAWSON

MEDICARE: SHEREE DAWSON
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1699479709
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEREE DAWSON
Provider Business Mailing Address
First Line : PO BOX 25040
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92406-0640
Country : US
Telephone Number : 909-886-2994
Fax Number : 909-886-0218
Provider Business Practice Location Address
First Line : 2164 N MOUNTAIN VIEW AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4019
Country : US
Telephone Number : 909-886-2994
Fax Number : 909-886-2994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 02/04/2026

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