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General NPI Number Information
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NPI Number | 1437159084
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Entity Type | Individual
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Provider Name | MICHAEL H HAWKINS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4540 KLAHANIE DR SE
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City | ISSAQUAH
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State | WA
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Zip | 98029-5812
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Country | US
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Telephone | 425-557-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 25962 SE 39TH PL
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City | ISSAQUAH
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State | WA
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Zip | 98029-7768
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Country | US
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Telephone | 425-557-8100
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE00008294
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License Number State | WA
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