MEDICARE: BJ DAWKINS

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1215679675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BJ DAWKINS

Provider Business Mailing Address
First Line	:	10125 COLESVILLE RD STE 222
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2457
Country	:	US
Telephone Number	:	240-801-0196
Fax Number	:

Provider Business Practice Location Address
First Line	:	13108 MICA CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5324
Country	:	US
Telephone Number	:	240-801-0196
Fax Number	:

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

Provider Enumeration Date	:	04/07/2022
Last Update Date	:	04/07/2022

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Directions to “ BJ DAWKINS ” Practice Location

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