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Individual
ELIZABETH S. DODSON
Active
Individual
ELIZABETH S. DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167908
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-033
TRICARE/CHAMPUS
VA
01
—
04290
BC/BS
NC
01
—
10039433N
SENTARA/OPTIMA HEALTH
VA
05
—
1194971606
—
VA
05
—
7004290
—
NC
01
—
PAR
MULITPLAN
VA
Enumeration date
08/15/2008
Last updated
03/09/2009
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