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General NPI Number Information
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NPI Number | 1811638737
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Entity Type | Individual
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Provider Name | THOMAS SAMUEL DODSON PHD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3141 CENTENNIAL BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4094
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Country | US
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Telephone | 719-327-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 2911 W UINTAH ST APT 1
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-2487
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Country | US
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Telephone | 402-590-7000
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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 | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | PSY.0005768
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0005768
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License Number State | CO
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