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General NPI Number Information
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NPI Number | 1104802503
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Entity Type | Individual
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Provider Name | DAVID LEE DAWSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 2401 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76508-2307
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Country | US
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Telephone | 254-913-7196
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Fax |
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Provider Business Mailing Address
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Address Line | 13650 DANDELION TRL
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City | BELTON
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State | TX
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Zip | 76513-6754
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Country | US
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Telephone | 254-913-7196
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | K5892
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License Number State | TX
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