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General NPI Number Information
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NPI Number | 1407466907
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Entity Type | Individual
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Provider Name | JOHN LOUIS HAWK RRT, RCP
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Gender | Male
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Dates
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Enumeration Date | 08/09/2020
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Last Update Date | 08/09/2020
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Provider Practice Location Address
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Address Line | 3451 S MERCY RD STE 102
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City | GILBERT
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State | AZ
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Zip | 85297-0206
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Country | US
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Telephone | 480-719-1613
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 W 13TH ST APT A
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City | ROSWELL
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State | NM
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Zip | 88201-3136
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Country | US
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Telephone | 512-367-9313
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RCP4186
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License Number State | NM
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