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NPI 1568330124

NPI 1568330124 : DAWN PSYCHOLOGICAL SERVICES : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1568330124
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAWN PSYCHOLOGICAL SERVICES 
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Dates
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    Enumeration Date     |    10/27/2025
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    1331 ELMWOOD AVE STE 300B 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29201-2150
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    Country              |    US
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    Telephone            |    803-200-2601
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    Fax                  |    803-961-6600
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2512 
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    City                 |    IRMO
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    State                |    SC
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    Zip                  |    29063-4000
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    Country              |    US
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    Telephone            |    803-200-2601
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    Fax                  |    803-961-6600
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Authorized Official
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    Title or Position    |    LICENSED PSYCHOLOGIST
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    Name                 |    DR. HEIDI  DAWN 
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    Credential           |    PSYD
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    Telephone            |    803-873-1162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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