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General NPI Number Information
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NPI Number | 1649411505
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Entity Type | Individual
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Provider Name | WILLIAM HAWKINS PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 4414 LAKE BOONE TRL STE 405
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City | RALEIGH
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State | NC
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Zip | 27607-7520
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Country | US
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Telephone | 919-876-8225
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Fax | 919-876-3371
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Provider Business Mailing Address
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Address Line | 30 LAFOY DR
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City | CLAYTON
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State | NC
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Zip | 27527-6620
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Country | US
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Telephone | 919-995-4023
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0010-01777
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License Number State | NC
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