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General NPI Number Information
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NPI Number | 1134521404
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Entity Type | Organization
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Legal Business Name | CHARLES H HAWKINS JR DDS INC.
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 2560 MAYSVILLE PIKE
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City | ZANESVILLE
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State | OH
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Zip | 43701-7049
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Country | US
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Telephone | 740-455-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 MAYSVILLE PIKE P.O. BOX 1752
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City | ZANESVILLE
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State | OH
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Zip | 43701-7049
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Country | US
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Telephone | 740-455-6286
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Fax | 740-455-6387
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES HAWKINS JR.
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Credential |
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Telephone | 740-455-6286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1821121401
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License Number State | OH
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