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General NPI Number Information
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NPI Number | 1659394112
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Entity Type | Individual
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Provider Name | CRAIG A HAWKINS MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 113 AIRPORT RD STE 300
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2193
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Country | US
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Telephone | 903-439-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 81 MEDICAL CENTER DR SUITE 2350
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City | BRUNSWICK
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State | ME
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Zip | 04011-2764
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Country | US
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Telephone | 207-373-6690
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Fax | 207-373-6695
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | V2376
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 129289
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | MD13860
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD13860
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License Number State | ME
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