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General NPI Number Information
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NPI Number | 1265353460
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Entity Type | Individual
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Provider Name | DAWN N JEATOR
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Gender | Female
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | PBS, 205 E SPOKANE FALLS BLVD
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City | SPOKANE
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State | WA
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Zip | 99202-2131
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Country | US
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Telephone | 509-368-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 506 3RD ST APT 2
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City | CHENEY
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State | WA
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Zip | 99004-7016
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Country | US
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Telephone | 360-622-1459
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 61585825
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License Number State | WA
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