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General NPI Number Information
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NPI Number | 1710759055
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Entity Type | Individual
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Provider Name | RASHAD HAWKINS CCL
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Gender | Male
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 4575 WEBB BRIDGE RD
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City | ALPHARETTA
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State | GA
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Zip | 30005-4256
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Country | US
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Telephone | 404-491-9116
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5695
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City | ALPHARETTA
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State | GA
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Zip | 30023-5695
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Country | US
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Telephone |
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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