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General NPI Number Information
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NPI Number | 1003159021
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Entity Type | Individual
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Provider Name | MATTHEW NATHANIEL DAWSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2331 FRANKLIN RD SW
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City | ROANOKE
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State | VA
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Zip | 24014-1111
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Country | US
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Telephone | 540-224-5170
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Fax | 540-857-5306
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 625
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone | 540-224-5516
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Fax | 540-224-5684
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.128356
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 73720
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036158986
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101267865
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License Number State | VA
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