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General NPI Number Information
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NPI Number | 1689985525
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Entity Type | Individual
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Provider Name | PATRICIA ANN DAWSON LADC, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 1 CHOCTAW WAY
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City | TALIHINA
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State | OK
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Zip | 74571-2022
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Country | US
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Telephone | 918-567-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 30860 STATE HIGHWAY 43
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City | CLAYTON
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State | OK
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Zip | 74536-5042
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Country | US
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Telephone | 918-569-4237
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 604
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4409
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License Number State | OK
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