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General NPI Number Information
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NPI Number | 1164555488
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Entity Type | Individual
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Provider Name | JOAN K DAWSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 31824 VILLAGE CENTER RD SUITE E
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4337
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Country | US
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Telephone | 818-991-1063
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Fax | 818-991-1064
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Provider Business Mailing Address
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Address Line | 764 CORALTREE LN APT 254
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City | OAK PARK
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State | CA
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Zip | 91377-5450
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Country | US
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Telephone | 818-324-8390
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY20943
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN211395
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License Number State | CA
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