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General NPI Number Information
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NPI Number | 1588832398
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Entity Type | Organization
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Legal Business Name | TRUDY C DAWSON MSW LCSW PC
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 7035 CAMPUS DR STE 808
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-6527
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Country | US
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Telephone | 719-377-2118
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Fax |
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Provider Business Mailing Address
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Address Line | 4760 FLINTRIDGE DR STE 250
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4264
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRUDY DAWSON
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Credential | MSW, LCSW
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Telephone | 719-377-2118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 986050
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License Number State | CO
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