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General NPI Number Information
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NPI Number | 1619887791
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Entity Type | Individual
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Provider Name | JESSICA MONIQUE SMITH DAWSON EMBA, MHA, CP, CTRS
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 403 W GRAND PKWY S STE F
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City | KATY
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State | TX
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Zip | 77494-3801
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Country | US
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Telephone | 281-677-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 403 W GRAND PKWY S STE F
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City | KATY
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State | TX
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Zip | 77494-3801
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Country | US
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Telephone | 281-677-7969
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 51691
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 51691
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number | 51691
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 51691
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License Number State | TX
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