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NPI 1386849263

NPI 1386849263 : SCOTT BRADFORD HAWES PT, NCS : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1386849263
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT BRADFORD HAWES PT, NCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/19/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    VOI 1215 21ST AVE S SUITE 3312, 3200 MCE SOUTH TOWER
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37232-0001
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    Country              |    US
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    Telephone            |    615-343-1207
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5025 HILLSBORO PIKE 23T
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37215-3743
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    Country              |    US
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    Telephone            |    615-343-1207
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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        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    PT5337
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    License Number State |    TN
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