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General NPI Number Information
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NPI Number | 1477925345
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Entity Type | Individual
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Provider Name | NICOLE DANIELLE HAWKINS CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 3825 GREENSPRING AVE
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City | BALTIMORE
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State | MD
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Zip | 21211-1310
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Country | US
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Telephone | 443-923-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 343 CHIMNEY OAK DR
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City | JOPPA
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State | MD
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Zip | 21085-4729
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Country | US
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Telephone | 443-858-7764
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R187100
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R187100
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License Number State | MD
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