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General NPI Number Information
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NPI Number | 1629963632
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Entity Type | Individual
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Provider Name | MICHAEL D. HAWKINS LMFT-A
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Gender | Male
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 111 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-4445
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Country | US
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Telephone | 980-202-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 103 EBENEZER RD
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-8762
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Country | US
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Telephone | 980-260-8048
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20663A
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License Number State | NC
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