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General NPI Number Information
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NPI Number | 1386533768
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Entity Type | Individual
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Provider Name | TAIHESHA HAWKINS-HARDY
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 3601 N PROGRESS AVE
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City | HARRISBURG
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State | PA
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Zip | 17110-9100
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Country | US
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Telephone | 717-232-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 15 S 24TH ST
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City | HARRISBURG
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State | PA
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Zip | 17103-2003
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Country | US
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Telephone | 717-608-8094
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | PN291783
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License Number State | PA
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