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General NPI Number Information
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NPI Number | 1205260700
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Entity Type | Organization
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Legal Business Name | KONRAD L DAWSON, MD, PC
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 106 IRVING ST NW #2400N
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-726-1000
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Fax | 202-726-1601
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Provider Business Mailing Address
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Address Line | 106 IRVING ST NW #2400N
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City | WASHINGTON
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State | DC
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Zip | 20010-2927
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Country | US
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Telephone | 202-726-1000
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Fax | 202-726-1601
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | DR. KONRAD L DAWSON
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Credential | M.D.
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Telephone | 202-726-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD25996
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License Number State | DC
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