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Jamie Roshun Dawson
Contractor in Phoenix, Arizona
NPI 1023637345

Jamie Roshun Dawson is a Contractor based in Tuscon, AZ. Jamie Roshun Dawson practices in Phoenix, AZ. The NPI Number for Jamie Roshun Dawson is 1023637345 and holds a License No. 10125986 (Arizona).

The current practice location address for Jamie Roshun Dawson is 13229 S 48Th St Apt 3051, Phoenix, AZ and can be reached out via phone at 501-952-1976.

Location: 13229 S 48Th St Apt 3051, Phoenix, AZ, 85754-6537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023637345
Provider Name
Jamie Roshun Dawson
Credential
Provider Entity Type
Individual
Gender
Male
Address
13229 S 48Th St Apt 3051, Phoenix, AZ, 85754-6537
Phone Number
501-952-1976
Fax Number
Provider Enumeration Date
04/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10125986 01 AZ AZ DEPT OF HEALTH SERVICES
1023637345 01 AZ THERAPEUTIC FOSTER CARE
institution
Provider Business Practice Location Address Details
Address
13229 S 48Th St Apt 3051
City
Phoenix
State
Arizona
Zip
85044
Phone Number
501-952-1976
Fax Number
person
Provider Business Mailing Address Details
Address
13229 S 48Th St Apt 3051
City
Phoenix
State
Arizona
Zip
85044
Phone Number
501-952-1976
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
10125986 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
10125986 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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