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General NPI Number Information
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NPI Number | 1083587828
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Entity Type | Individual
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Provider Name | MARIAN HAWKINS
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Gender | Female
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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Country | US
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Telephone | 972-634-1814
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Fax |
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Provider Business Mailing Address
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Address Line | 350 N STATE HIGHWAY 360 APT 9309
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City | MANSFIELD
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State | TX
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Zip | 76063-2577
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Country | US
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Telephone | 972-339-8511
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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 | 1191555
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License Number State | TX
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