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General NPI Number Information
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NPI Number | 1457207904
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Entity Type | Individual
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Provider Name | SHYLANDA DAWSON
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Gender | Female
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 8149 OLD FEDERAL RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-8009
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Country | US
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Telephone | 205-506-2617
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 CHIP CURV
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City | MONTGOMERY
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State | AL
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Zip | 36116-6030
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Country | US
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Telephone | 470-602-1210
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | AL
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