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1265761381 NPI number — HOLLY JEAN DAWSON D.O.

NPI Number: 1265761381
Health Care Provider/Practitioner: HOLLY JEAN DAWSON D.O.

Information about “1265761381” NPI (HOLLY JEAN DAWSON D.O.) exists in 1265761381 in HTML format HTML  |  1265761381 in plain Text format TXT  |  1265761381 in PDF (Portable Document Format) PDF  |  1265761381 in an XML format XML  formats.

NPI Number : 1265761381 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265761381",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAWSON",
    "FirstName": "HOLLY",
    "MiddleName": "JEAN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PATTON",
    "OtherFirstName": "HOLLY",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 5299",
    "SecondLineMailingAddress": "MS: 820-5-PCO",
    "MailingAddressCityName": "TACOMA",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98415-0299",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "601 MCPHEE RD SW BLDG 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLYMPIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98502-5080",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-705-1259",
    "PracticeLocationAddressFaxNumber": "360-705-2757",
    "EnumerationDate": "12/19/2009",
    "LastUpdateDate": "07/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207VX0000X",
          "TaxonomyName": "Obstetrics Physician",
          "LicenseNumber": "4942",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "OP60930140",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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