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General NPI Number Information
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NPI Number | 1326336579
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Entity Type | Individual
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Provider Name | CASSIE DAWSON PT,DPT,SCS,ATC,CSCS
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Gender | Female
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 315 W 5TH ST STE 200
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City | BENTON
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State | KY
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Zip | 42025-1152
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Country | US
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Telephone | 270-252-7200
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Fax | 270-252-7201
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Provider Business Mailing Address
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Address Line | 92 DAWSON LANE NONE
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City | BENTON
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State | KY
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Zip | 42025-8448
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Country | US
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Telephone | 270-703-4937
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 006265
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License Number State | KY
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