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General NPI Number Information
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NPI Number | 1104789973
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Entity Type | Individual
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Provider Name | GREG HAWKINS
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1441 MONTIEL RD STE 143
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City | ESCONDIDO
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State | CA
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Zip | 92026-2242
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Country | US
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Telephone | 760-560-7927
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 MONTIEL RD STE 143
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City | ESCONDIDO
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State | CA
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Zip | 92026-2242
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Country | US
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Telephone | 760-560-7927
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 240081942
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License Number State | CA
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