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General NPI Number Information
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NPI Number | 1720056971
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Entity Type | Organization
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Legal Business Name | ROGER DAWKINS MD PA
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Dates
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Enumeration Date | 03/12/2006
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 7454 ROYAL PALM BLVD
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City | MARGATE
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State | FL
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Zip | 33063-6881
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Country | US
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Telephone | 954-973-0030
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Fax | 954-973-0531
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Provider Business Mailing Address
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Address Line | 7454 ROYAL PALM BLVD
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City | MARGATE
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State | FL
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Zip | 33063-6881
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Country | US
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Telephone | 954-973-0030
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Fax | 954-973-0531
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Authorized Official
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Title or Position | PRESIDENT AND ALL OTHER OFFICERS
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Name | DR. ROGER M DAWKINS
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Credential | M.D.
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Telephone | 954-973-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0048130
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License Number State | FL
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