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General NPI Number Information
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NPI Number | 1053644252
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Entity Type | Individual
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Provider Name | ANNISSIA HAWKINS MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 4605G PINECREST OFFICE PARK DR
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City | ALEXANDRIA
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State | VA
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Zip | 22312-1442
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Country | US
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Telephone | 703-813-6330
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Fax | 301-710-6379
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Provider Business Mailing Address
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Address Line | 4605G PINECREST OFFICE PARK DR
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City | ALEXANDRIA
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State | VA
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Zip | 22312-1442
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Country | US
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Telephone | 703-813-6330
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 06899
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT010000868
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119005111
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License Number State | VA
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