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General NPI Number Information
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NPI Number | 1245538925
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Entity Type | Individual
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Provider Name | TUESDAY DAWSON MSW
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Gender | Female
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 203 N OTTAWA ST
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City | JOLIET
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State | IL
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Zip | 60432-4006
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Country | US
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Telephone | 815-723-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 6719 S CRANDON AVE #2
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City | CHICAGO
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State | IL
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Zip | 60649-1214
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Country | US
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Telephone | 312-401-3295
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-002071
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License Number State | IL
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