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General NPI Number Information
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NPI Number | 1144280231
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Entity Type | Individual
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Provider Name | DAWNMARIE RISLEY-CHILDS D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 10333 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-5808
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Country | US
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Telephone | 805-468-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 203 N FRANKLIN ST UNIT 2423
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City | FORT BRAGG
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State | CA
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Zip | 95437-8617
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Country | US
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Telephone | 845-901-0521
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2OA7736
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License Number State | CA
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