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NPI Code Detail

MEDICARE: DR. CANDICE DAWES MD

MEDICARE: DR. CANDICE DAWES MD
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
1208000000XPediatrics PhysicianMD040542DC

General Provider Information

NPI Number : 1265676779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CANDICE DAWES MD
Provider Business Mailing Address
First Line : 2501 GOOD HOPE RD SE
Second Line : SE
City : WASHINGTON
State : DC
Zip : 20020-3011
Country : US
Telephone Number : 202-476-6900
Fax Number :
Provider Business Practice Location Address
First Line : 2501 GOOD HOPE RD SE
Second Line : SE
City : WASHINGTON
State : DC
Zip : 20020-3011
Country : US
Telephone Number : 202-476-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 07/06/2012

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