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General NPI Number Information
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NPI Number | 1952839847
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Entity Type | Individual
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Provider Name | ADDIE MAE DODSON MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 740 S LIMESTONE STE K201
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City | LEXINGTON
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State | KY
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Zip | 40536-6062
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Country | US
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Telephone | 859-323-6211
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Fax | 859-257-0491
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Provider Business Mailing Address
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Address Line | 4650 W SUNSET BLVD # MS 83
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-361-2101
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Fax | 323-361-1355
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 54889
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A179419
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 54889
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License Number State | KY
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