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General NPI Number Information
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NPI Number | 1447239124
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Entity Type | Individual
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Provider Name | KRISTEN E DAWSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 3780 MEDINA RD STE. 200
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City | MEDINA
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State | OH
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Zip | 44256-9311
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Country | US
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Telephone | 330-722-3083
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Fax | 330-725-5043
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Provider Business Mailing Address
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Address Line | 3780 MEDINA RD STE. 200
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City | MEDINA
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State | OH
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Zip | 44256-9311
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Country | US
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Telephone | 330-722-3083
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Fax | 330-725-5043
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 35-079129E
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35079129
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License Number State | OH
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