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NPI 1205554458

NPI 1205554458 : EMMA GRACE HAWKINS : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1205554458
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA GRACE HAWKINS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/15/2022
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    Last Update Date     |    11/13/2025
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Provider Practice Location Address
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    Address Line         |    5600 W LOVERS LN STE 317 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75209-4329
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    Country              |    US
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    Telephone            |    972-757-8833
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2206 KNIGHTHOOD LN 
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    City                 |    GARLAND
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    State                |    TX
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    Zip                  |    75044-6046
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    Country              |    US
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    Telephone            |    972-757-8833
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    88852
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    License Number State |    TX
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