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General NPI Number Information
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NPI Number | 1144529181
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Entity Type | Individual
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Provider Name | WILBUR ADRIAN DAWSON II BA.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 8625 KING GEORGE DR SUITE 111
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City | DALLAS
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State | TX
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Zip | 75235-2215
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Country | US
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Telephone | 214-631-7002
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 SIMPSON STUART RD APT. 15101
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City | DALLAS
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State | TX
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Zip | 75241-5065
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Country | US
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Telephone | 972-896-5295
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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