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General NPI Number Information
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NPI Number | 1184878050
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Entity Type | Individual
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Provider Name | DAWN ELIZABETH HERSHBERGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4227
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Country | US
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Telephone | 970-384-6770
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Fax | 970-384-6765
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Provider Business Mailing Address
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Address Line | PO BOX 2270
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81602-2270
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Country | US
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Telephone | 970-384-7033
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Fax | 970-945-5460
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-2714
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License Number State | CO
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