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General NPI Number Information
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NPI Number | 1558700575
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Entity Type | Individual
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Provider Name | ROBERT DAVID DAWSON JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4130 N FREEWAY RD
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City | PUEBLO
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State | CO
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Zip | 81008-2064
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Country | US
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Telephone | 716-695-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 5799 STETSON HILLS BLVD STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-4223
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Country | US
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Telephone | 719-471-2273
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0003695
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License Number State | CO
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