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General NPI Number Information
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NPI Number | 1043175185
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Entity Type | Individual
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Provider Name | SHANNON HAWKS NP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 5550 BETHELVIEW RD
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City | CUMMING
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State | GA
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Zip | 30040-6859
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Country | US
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Telephone | 678-456-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 516 SOSEBEE FARM RD
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City | GRAYSON
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State | GA
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Zip | 30017-0156
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Country | US
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Telephone | 678-456-4052
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP315524
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License Number State | GA
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