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General NPI Number Information
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NPI Number | 1770786790
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Entity Type | Individual
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Provider Name | PATRICIA UMLAUF DAWSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 23668 FRONT STREET
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City | ACCOMAC
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State | VA
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Zip | 23301
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Country | US
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Telephone | 757-787-3080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7050
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City | RICHMOND
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State | VA
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Zip | 23221-0050
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Country | US
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Telephone | 804-514-8696
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 0904002619
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License Number State | VA
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