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General NPI Number Information
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NPI Number | 1134691058
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Entity Type | Organization
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Legal Business Name | DAWSON DERMATOLOGY GROUP PLLC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 499 E HAMPDEN AVE STE 390
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2780
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Country | US
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Telephone | 303-390-0795
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Fax | 720-386-3395
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Provider Business Mailing Address
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Address Line | 499 E HAMPDEN AVE STE 390
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2780
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Country | US
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Telephone | 303-390-0795
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Fax | 720-386-3395
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNELISE LORELEI DAWSON
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Credential | MD
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Telephone | 303-390-0795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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