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General NPI Number Information
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NPI Number | 1174456784
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Entity Type | Individual
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Provider Name | DANIELLE HAWKES
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 168 E 13TH ST
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City | HOLLAND
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State | MI
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Zip | 49423-3624
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Country | US
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Telephone | 616-395-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 9975 SWITCHGRASS LN
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City | ZEELAND
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State | MI
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Zip | 49464-8451
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Country | US
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Telephone | 616-283-9709
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Fax |
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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 | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 4704297195
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License Number State | MI
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