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General NPI Number Information
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NPI Number | 1497776272
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Entity Type | Individual
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Provider Name | JANET L HAWTHORNE PH D
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 250 N ROCK RD SUITE 365
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City | WICHITA
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State | KS
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Zip | 67206-2243
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Country | US
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Telephone | 316-719-3875
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Fax | 316-719-3877
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Provider Business Mailing Address
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Address Line | 250 N ROCK RD SUITE 365
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City | WICHITA
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State | KS
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Zip | 67206-2243
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Country | US
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Telephone | 316-719-3875
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Fax | 316-719-3877
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP0863
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License Number State | KS
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