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General NPI Number Information
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NPI Number | 1730543042
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Entity Type | Individual
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Provider Name | MEGHAN MARIE DAWSON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 2410 EVERGREEN RD #100
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City | GAMBRILLS
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State | MD
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Zip | 21054-1979
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Country | US
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Telephone | 410-451-8140
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Fax |
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Provider Business Mailing Address
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Address Line | 505 OAK GROVE RD
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City | LINTHICUM
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State | MD
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Zip | 21090-2824
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Country | US
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Telephone | 443-889-5663
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25860
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License Number State | MD
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