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General NPI Number Information
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NPI Number | 1164058236
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Entity Type | Individual
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Provider Name | DAWN FITZGERALD NP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 611 GATEWAY BLVD STE 120
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7066
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Country | US
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Telephone | 650-761-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 7 DOUGLASS ST APT 2C
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City | BROOKLYN
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State | NY
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Zip | 11231-5415
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Country | US
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Telephone | 315-694-3825
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019224
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 346134
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11037818
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 758495-1
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License Number State | NY
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