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General NPI Number Information
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NPI Number | 1659015238
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Entity Type | Organization
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Legal Business Name | HAWKINS HEART IN-HOMECARE, INC.
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1235 CASSIDY RD
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City | THOMASVILLE
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State | GA
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Zip | 31792-3526
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Country | US
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Telephone | 229-233-5105
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Fax | 229-233-6130
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Provider Business Mailing Address
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Address Line | PO BOX 2911
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City | THOMASVILLE
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State | GA
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Zip | 31799-2911
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Country | US
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Telephone | 229-233-5105
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Fax |
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Authorized Official
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Title or Position | ADMIN/CEO
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Name | DESSERITA R. DYSON
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Credential | DESSERITA DYSON
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Telephone | 229-233-5105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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