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General NPI Number Information
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NPI Number | 1437537230
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Entity Type | Individual
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Provider Name | HAROLD DONALD HAWKS JR. MA, MDIV
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Gender | Male
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 35 MEADOW LN
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City | MOUNT SIDNEY
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State | VA
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Zip | 24467-2505
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Country | US
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Telephone | 540-248-0409
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MEADOW LN
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City | MOUNT SIDNEY
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State | VA
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Zip | 24467-2505
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Country | US
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Telephone | 540-248-0409
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701001280
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 25
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717000130
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License Number State | VA
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