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General NPI Number Information
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NPI Number | 1336855659
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Entity Type | Individual
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Provider Name | CINNAMON RENEE DAWSON CNM
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 650 W MARYLAND AVE STE 1
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City | PHOENIX
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State | AZ
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Zip | 85013-1399
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Country | US
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Telephone | 602-240-2401
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Fax | 602-792-0244
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Provider Business Mailing Address
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Address Line | PO BOX 748860
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City | ATLANTA
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State | GA
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Zip | 30374
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Country | US
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Telephone | 602-240-2401
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Fax | 602-792-0244
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TEMP286319
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | TEMP286319
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License Number State | AZ
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