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General NPI Number Information
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NPI Number | 1891466801
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Entity Type | Individual
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Provider Name | ELIZABETH PADEN-WALKER DAWKINS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 601 W SUNFLOWER RD
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City | CLEVELAND
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State | MS
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Zip | 38732-2527
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Country | US
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Telephone | 662-545-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 FARMER ST
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City | CLEVELAND
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State | MS
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Zip | 38732-3132
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Country | US
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Telephone | 662-822-0363
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904888
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License Number State | MS
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