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General NPI Number Information
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NPI Number | 1427592245
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Entity Type | Organization
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Legal Business Name | CHRISTINA DAWSON, DDS, PLLC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1278 JUSTIN RD SUITE 108
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City | LEWISVILLE
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State | TX
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Zip | 75077-2200
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Country | US
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Telephone | 972-317-1581
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Fax | 972-317-4836
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Provider Business Mailing Address
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Address Line | 1278 JUSTIN RD SUITE 108
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City | LEWISVILLE
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State | TX
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Zip | 75077-2200
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Country | US
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Telephone | 972-317-1581
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Fax | 972-317-4836
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA SIMS DAWSON
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Credential | D.D.S.
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Telephone | 972-317-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30989
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License Number State | TX
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