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General NPI Number Information
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NPI Number | 1376700989
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Entity Type | Individual
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Provider Name | LEIA M DAWSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 10/22/2023
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Provider Practice Location Address
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Address Line | 1401 JOHNSON FERRY RD STE 390
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City | MARIETTA
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State | GA
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Zip | 30062-9100
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Country | US
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Telephone | 470-250-1492
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Fax | 470-235-7311
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Provider Business Mailing Address
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Address Line | 1401 JOHNSON FERRY RD STE 390
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City | MARIETTA
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State | GA
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Zip | 30062-9100
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Country | US
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Telephone | 470-250-1492
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Fax | 470-235-7311
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 065818
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License Number State | GA
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