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General NPI Number Information
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NPI Number | 1588727895
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Entity Type | Individual
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Provider Name | ROBERT KEITH DAWSON NP
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 925 S NEBRASKA ST
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City | MARION
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State | IN
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Zip | 46953-1874
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Country | US
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Telephone | 765-664-7492
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Fax | 765-664-4356
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Provider Business Mailing Address
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Address Line | 8003 CASTLEWAY DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1946
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Country | US
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Telephone | 317-576-1335
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71001868A
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License Number State | IN
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