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General NPI Number Information
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NPI Number | 1730458647
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Entity Type | Individual
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Provider Name | MICHELLE LYNN WOOD DAWSON M.S. CCC-SLP, BCS-S
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Gender | Female
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 200 W 12TH ST BLDG I-10
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City | WAYNESBORO
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State | VA
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Zip | 22980-4771
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Country | US
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Telephone | 540-941-5501
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Fax | 540-941-5502
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Provider Business Mailing Address
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Address Line | 1015 WOODMONT DR
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City | STAUNTON
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State | VA
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Zip | 24401-8363
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Country | US
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Telephone | 803-603-9280
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202005959
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License Number State | VA
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