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General NPI Number Information
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NPI Number | 1164621140
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Entity Type | Organization
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Legal Business Name | HOSEA WILLIAM HAWKINS, DO
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 1050 E ALMOND AVE
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City | MADERA
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State | CA
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Zip | 93637-5698
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Country | US
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Telephone | 559-673-5181
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Fax | 559-673-5184
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Provider Business Mailing Address
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Address Line | 1050 E ALMOND AVE
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City | MADERA
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State | CA
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Zip | 93637-5698
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Country | US
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Telephone | 559-673-5181
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Fax | 559-673-5184
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHERRIL S METELKO
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Credential |
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Telephone | 559-673-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A4421
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License Number State | CA
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