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General NPI Number Information
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NPI Number | 1194982256
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Entity Type | Organization
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Legal Business Name | ELIZABETH S. HAWKINS DPM
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 7423 PICARDY AVE SUITE B
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City | BATON ROUGE
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State | LA
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Zip | 70808-4362
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Country | US
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Telephone | 225-766-3955
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Fax | 225-761-8833
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Provider Business Mailing Address
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Address Line | 7423 PICARDY AVE SUITE B
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City | BATON ROUGE
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State | LA
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Zip | 70808-4362
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Country | US
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Telephone | 225-766-3955
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Fax | 225-761-8833
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ELIZABETH S. HAWKINS
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Credential | DPM
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Telephone | 225-766-3955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | PDO96R
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License Number State | LA
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