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General NPI Number Information
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NPI Number | 1336392786
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Entity Type | Organization
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Legal Business Name | DAWN RENEE DAWSON M.D., P.C.
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 620 SOUTHPOINTE CT SUITE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3897
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Country | US
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Telephone | 719-634-3777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38519
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City | COLORADO SPRINGS
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State | CO
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Zip | 80937-8519
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Country | US
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Telephone | 719-634-3777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAWN R. DAWSON
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Credential | M.D.
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Telephone | 719-634-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 601
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 991161
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 991789
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E61619
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License Number State | CO
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