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General NPI Number Information
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NPI Number | 1457693541
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Entity Type | Individual
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Provider Name | DANNY HAWKINS CACII, NCAC II
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Gender | Male
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 250 SCENIC HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5675
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Country | US
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Telephone | 678-442-5874
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Fax |
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Provider Business Mailing Address
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Address Line | 3646 MOUNT LAUREL WAY
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City | SNELLVILLE
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State | GA
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Zip | 30039-6963
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Country | US
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Telephone | 404-272-9257
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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