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General NPI Number Information
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NPI Number | 1255398103
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Entity Type | Individual
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Provider Name | NICOLE THERESE DAWSON PT, PHD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | IMOVE LAB AT UCF 3280 PROGRESS DRIVE #722
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City | ORLANDO
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State | FL
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Zip | 32826
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Country | US
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Telephone | 330-620-6365
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Fax |
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Provider Business Mailing Address
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Address Line | 14296 RENSSELAER RD
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City | ORLANDO
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State | FL
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Zip | 32826-3558
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Country | US
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Telephone | 330-620-6365
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10134
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30404
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License Number State | FL
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