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General NPI Number Information
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NPI Number | 1275530024
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Entity Type | Individual
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Provider Name | DIANE C HAWKINS ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 748 14TH AVE
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City | LONGVIEW
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State | WA
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Zip | 98632-2315
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Country | US
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Telephone | 360-501-3601
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Fax | 360-501-3648
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Provider Business Mailing Address
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Address Line | 229 W ST JAMES PL
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City | LONGVIEW
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State | WA
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Zip | 98632-9547
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Country | US
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Telephone | 360-577-7448
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00053624
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP30003064
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License Number State | WA
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