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General NPI Number Information
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NPI Number | 1114131588
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Entity Type | Individual
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Provider Name | HARRIS E HAWK MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 975 E 3RD ST BOX 376
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-7234
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Fax | 423-778-6811
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Provider Business Mailing Address
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Address Line | 975 E 3RD ST BOX 376
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-7234
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Fax | 423-778-6811
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116018302
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 33948
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 51225
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License Number State | TN
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