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General NPI Number Information
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NPI Number | 1649131145
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Entity Type | Individual
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Provider Name | DAWSON KERO
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 435 NW 11TH ST
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City | HERMISTON
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State | OR
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Zip | 97838-1412
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Country | US
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Telephone | 906-281-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 810 LAKE AVE
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City | HANCOCK
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State | MI
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Zip | 49930-1916
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 65872
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License Number State | MI
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