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NPI Code Detail

MEDICARE: NATHAN R HAWKINS

MEDICARE: NATHAN R HAWKINS
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
1101YP2500XProfessional CounselorC.2607445-TRNEOH

General Provider Information

NPI Number : 1194506006
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN R HAWKINS
Provider Business Mailing Address
First Line : 762 PRICE KNL
Second Line :
City : MILFORD
State : OH
Zip : 45150-1430
Country : US
Telephone Number : 513-410-6759
Fax Number :
Provider Business Practice Location Address
First Line : 830 EZZARD CHARLES DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45214-2525
Country : US
Telephone Number : 513-381-6672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 01/06/2026

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