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General NPI Number Information
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NPI Number | 1841874617
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Entity Type | Individual
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Provider Name | DAWN LASHAY ROSS CPHT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 05/08/2021
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Provider Practice Location Address
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Address Line | 3855 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75462-5210
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Country | US
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Telephone | 903-785-8734
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Fax | 903-784-0256
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | BAGWELL
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State | TX
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Zip | 75412-0008
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Country | US
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Telephone | 903-715-1619
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 240904
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License Number State | TX
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