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General NPI Number Information
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NPI Number | 1033508643
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Entity Type | Individual
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Provider Name | ERIN MICHELLE HAWKS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE SUITE 12400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-4407
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Fax |
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Provider Business Mailing Address
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Address Line | 2406 S SANTA FE AVE APT. 201
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City | MOORE
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State | OK
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Zip | 73160-2871
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Country | US
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Telephone | 989-817-6275
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1217
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License Number State | OK
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