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General NPI Number Information
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NPI Number | 1154208270
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Entity Type | Organization
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Legal Business Name | NIKI HAWKINS RDN PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 3383 W VASSAR ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6792
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Country | US
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Telephone | 479-340-4388
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Fax |
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Provider Business Mailing Address
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Address Line | 3383 W VASSAR ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6792
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Country | US
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Telephone | 479-340-4388
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | NICOLE MARIE BEYLA HAWKINS
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Credential | RDN
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Telephone | 479-340-4388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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