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General NPI Number Information
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NPI Number | 1326518010
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Entity Type | Individual
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Provider Name | DAWN JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 3809 S CENTER ST
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-4756
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Country | US
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Telephone | 416-752-1585
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Fax |
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Provider Business Mailing Address
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Address Line | 3809 S CENTER ST
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-4756
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 108425
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License Number State | IA
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