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NPI 1417202060

NPI 1417202060 : HAWKINSON AND COMPANY : YUKON, OK

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General NPI Number Information
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    NPI Number           |    1417202060
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAWKINSON AND COMPANY 
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Dates
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    Enumeration Date     |    07/19/2012
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    Last Update Date     |    07/19/2012
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Provider Practice Location Address
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    Address Line         |    530 POINTE PARKWAY BLVD STE B 
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    City                 |    YUKON
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    State                |    OK
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    Zip                  |    73099-0600
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    Country              |    US
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    Telephone            |    405-708-3640
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2505 ROCKHAVEN LN 
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    City                 |    YUKON
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    State                |    OK
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    Zip                  |    73099-5129
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    Country              |    US
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    Telephone            |    405-313-9100
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRE
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    Name                 |    MRS. ERIN  HAWKINSON 
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    Credential           |    LPC, M.S.MFT
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    Telephone            |    405-313-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    4808
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    License Number State |    OK
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