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General NPI Number Information
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NPI Number | 1114673571
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Entity Type | Individual
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Provider Name | SYDNEY DAWSON DDS
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Gender | Female
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 101 E REDLANDS BLVD STE 134
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City | REDLANDS
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State | CA
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Zip | 92373-4723
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Country | US
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Telephone | 909-335-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 1381 MARY LN
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City | BEAUMONT
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State | CA
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Zip | 92223-3242
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Country | US
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Telephone | 202-465-0553
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 105705
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License Number State | CA
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