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General NPI Number Information
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NPI Number | 1730159096
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Entity Type | Individual
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Provider Name | JAMIAH K. DAWSON DENTIST
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11828 FISHING POINT DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4500
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Country | US
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Telephone | 757-873-3407
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 LAKE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-9410
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Country | US
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Telephone | 757-873-3407
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401411148
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN012564
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License Number State | GA
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