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General NPI Number Information
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NPI Number | 1679800734
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Entity Type | Individual
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Provider Name | DAWN A TANNER LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 4102 PINION DR
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City | USAF ACADEMY
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State | CO
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Zip | 80840-2502
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Country | US
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Telephone | 719-524-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2304 CADET DRIVE; SUITE 2250
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City | USAF ACADEMY
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State | CO
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Zip | 80840-5001
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Country | US
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Telephone | 719-333-4091
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2265
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License Number State | NE
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