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General NPI Number Information
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NPI Number | 1316955024
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Entity Type | Individual
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Provider Name | JOHN M. DAWSON D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 1730 PRAIRIE CITY RD SUITE 120
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City | FOLSOM
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State | CA
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Zip | 95630-9594
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Country | US
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Telephone | 916-351-4800
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Fax | 916-351-4899
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Provider Business Mailing Address
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Address Line | 3400 DATA DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone |
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4614
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License Number State | CA
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