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NPI 1114763463

NPI 1114763463 : DEVON A. DAWSON PHD : IOWA CITY, IA

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General NPI Number Information
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    NPI Number           |    1114763463
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    Entity Type          |    Individual 
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    Provider Name        |    DEVON A. DAWSON PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/06/2024
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    Last Update Date     |    10/22/2025
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Provider Practice Location Address
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    Address Line         |    200 HAWKINS DR 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52242-1009
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    Country              |    US
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    Telephone            |    319-356-2952
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    Fax                  |    319-356-4505
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Provider Business Mailing Address
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    Address Line         |    200 HAWKINS DR 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52242-1009
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    Country              |    US
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    Telephone            |    319-356-2952
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    Fax                  |    319-356-4505
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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        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    132575
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    License Number State |    IA
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