MEDICARE: DIANNE NICHOLE DAWKINS CD, PCD, PPCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205460003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE NICHOLE DAWKINS CD, PCD, PPCES

Provider Business Mailing Address
First Line	:	1701 N TREASURE DR APT 5
Second Line	:
City	:	NORTH BAY VILLAGE
State	:	FL
Zip	:	33141-4220
Country	:	US
Telephone Number	:	305-901-9577
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 NE 2ND AVE # 320
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-3815
Country	:	US
Telephone Number	:	305-901-9577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	03/02/2020

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Directions to “ DIANNE NICHOLE DAWKINS CD, PCD, PPCES” Practice Location

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