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General NPI Number Information
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NPI Number | 1639298334
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Entity Type | Individual
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Provider Name | LINDA MIKONIS HAWKINS MFT
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/24/2024
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Provider Practice Location Address
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Address Line | 1110 CIVIC CENTER BLVD STE 204B
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City | YUBA CITY
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State | CA
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Zip | 95993-3016
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Country | US
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Telephone | 530-300-4059
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Fax | 530-466-3051
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Provider Business Mailing Address
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Address Line | PO BOX 3521
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City | YUBA CITY
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State | CA
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Zip | 95992-3521
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Country | US
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Telephone | 530-300-4059
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Fax | 530-674-4714
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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 | LMFT40691
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License Number State | CA
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