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General NPI Number Information
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NPI Number | 1699658971
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Entity Type | Individual
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Provider Name | DAWSON TYLER WINDSOR PHYSICAL THERAPIST
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Gender |
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1201 S CLEARVIEW PKWY
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City | JEFFERSON
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State | LA
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Zip | 70121-1015
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Country | US
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Telephone | 504-734-1472
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 S CLEARVIEW PKWY BLDG B
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City | JEFFERSON
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State | LA
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Zip | 70121-1015
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 11825
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License Number State | LA
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