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General NPI Number Information
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NPI Number | 1164403663
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Entity Type | Organization
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Legal Business Name | HAWK ASSOCIATES INC
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 309 S ELK ST
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City | SANDUSKY
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State | MI
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Zip | 48471
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Country | US
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Telephone | 810-648-9626
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Fax | 810-648-9626
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Provider Business Mailing Address
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Address Line | 309 S ELK ST STE 1
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City | SANDUSKY
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State | MI
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Zip | 48471-1329
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Country | US
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Telephone | 810-648-9626
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Fax | 810-648-9626
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TOMAS JELINEK
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Credential | PT
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Telephone | 810-648-9626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004236
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License Number State | MI
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