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General NPI Number Information
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NPI Number | 1700016169
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Entity Type | Individual
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Provider Name | JOHN T DAWSON JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 01/04/2013
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Provider Practice Location Address
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Address Line | 18958 COASTAL HWY
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6196
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Country | US
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Telephone | 302-645-7672
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Fax | 302-645-7842
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Provider Business Mailing Address
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Address Line | 18958 COASTAL HWY
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6196
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Country | US
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Telephone | 302-645-7672
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Fax | 302-645-7842
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C1-0009116
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License Number State | DE
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