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1265460679 NPI number — NATHAN R HAWKINS PA.C

NPI Number: 1265460679
Health Care Provider/Practitioner: NATHAN R HAWKINS PA.C

Information about “1265460679” NPI (NATHAN R HAWKINS PA.C) exists in 1265460679 in HTML format HTML  |  1265460679 in plain Text format TXT  |  1265460679 in PDF (Portable Document Format) PDF  |  1265460679 in an XML format XML  formats.

NPI Number : 1265460679 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265460679",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAWKINS",
    "FirstName": "NATHAN",
    "MiddleName": "R",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PA.C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2500E PROSPECT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT COLLINS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80525-9718",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-493-0112",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "702A W DRAKE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT COLLINS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80526-5521",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-810-0255",
    "PracticeLocationAddressFaxNumber": "970-966-2599",
    "EnumerationDate": "06/28/2006",
    "LastUpdateDate": "01/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "3690",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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