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General NPI Number Information
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NPI Number | 1942572573
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Entity Type | Organization
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Legal Business Name | DAWN L SHOGREN, M.D.PA
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 5485 BELT LINE RD SUITE 160
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City | DALLAS
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State | TX
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Zip | 75254-7698
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Country | US
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Telephone | 972-392-2882
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Fax | 972-392-4407
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Provider Business Mailing Address
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Address Line | 5485 BELT LINE RD SUITE 160
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City | DALLAS
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State | TX
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Zip | 75254-7698
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Country | US
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Telephone | 972-392-2882
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Fax | 972-392-4407
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAWN SHOGREN
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Credential | M.D.
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Telephone | 972-392-2882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G6454
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License Number State | TX
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