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General NPI Number Information
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NPI Number | 1457782260
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Entity Type | Individual
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Provider Name | STEPHANIE HAWKINS PNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 2945 RENWICK ST
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City | MONROE
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State | LA
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Zip | 71201-8146
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Country | US
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Telephone | 318-654-8760
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Fax | 318-605-2374
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Provider Business Mailing Address
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Address Line | 202 CARTER DR
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City | WEST MONROE
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State | LA
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Zip | 71291-7240
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Country | US
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Telephone | 903-439-5189
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Fax | 903-438-1107
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 234409
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP126597
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License Number State | TX
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