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General NPI Number Information
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NPI Number | 1376763953
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Entity Type | Individual
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Provider Name | DAWN C CVETKOVIC L.AC., DIPL.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 104 COLONY PARK DR STE 200
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City | CUMMING
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State | GA
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Zip | 30040-2772
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Country | US
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Telephone | 678-896-9609
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Fax |
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Provider Business Mailing Address
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Address Line | 104 COLONY PARK DR STE 200
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City | CUMMING
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State | GA
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Zip | 30040-2772
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Country | US
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Telephone | 678-896-9609
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 14687 DIPL.AC.
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 000237
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC7981
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License Number State | CA
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