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General NPI Number Information
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NPI Number | 1720841331
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Entity Type | Individual
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Provider Name | GLADNEY HAWKINS RN
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD STE 128-12
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City | ATLANTA
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State | GA
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Zip | 30349-5593
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Country | US
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Telephone | 470-730-6102
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Fax | 470-220-7500
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Provider Business Mailing Address
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Address Line | PO BOX 471
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City | UNION CITY
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State | GA
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Zip | 30291-0471
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Country | US
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Telephone | 470-730-6102
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Fax | 470-220-7500
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 203514
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 203514
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 203514
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 203514
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 203514
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License Number State | LA
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