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NPI 1689793580

NPI 1689793580 : CHERYL MAE DODSON PA-C : RIO HONDO, TX

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General NPI Number Information
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    NPI Number           |    1689793580
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    Entity Type          |    Individual 
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    Provider Name        |    CHERYL MAE DODSON PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2007
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    29099 FM 106 
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    City                 |    RIO HONDO
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    State                |    TX
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    Zip                  |    78583-0256
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    Country              |    US
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    Telephone            |    956-748-2381
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    Fax                  |    833-941-2322
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1354 
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    City                 |    RIO HONDO
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    State                |    TX
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    Zip                  |    78583-1354
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    Country              |    US
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    Telephone            |    956-330-9813
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    PA0626
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA02626
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    License Number State |    TX
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