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General NPI Number Information
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NPI Number | 1376644401
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Entity Type | Individual
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Provider Name | DENZIL W HAWKINBERRY II MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 34 N KANAWHA ST
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City | BUCKHANNON
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State | WV
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Zip | 26201-2714
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Country | US
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Telephone | 304-473-2250
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Fax | 304-924-5460
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Provider Business Mailing Address
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Address Line | 34 N KANAWHA ST
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City | BUCKHANNON
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State | WV
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Zip | 26201-2714
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Country | US
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Telephone | 304-473-2250
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Fax | 304-924-5460
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20823
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 20823
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License Number State | WV
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