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NPI Code Detail

MEDICARE: JADA I DAWSON

MEDICARE: JADA I 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
1225X00000XOccupational Therapist0119011233VA

General Provider Information

NPI Number : 1871480160
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADA I DAWSON
Provider Business Mailing Address
First Line : 5621 TIDEWATER DR STE B
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1497
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5621 TIDEWATER DR STE B
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1497
Country : US
Telephone Number : 757-351-4244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 01/20/2026

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Directions to “ JADA I DAWSON ” Practice Location

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