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General NPI Number Information
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NPI Number | 1730152307
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Entity Type | Individual
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Provider Name | CAMILLE PATRICE HAWKINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | COMANDANT (CG-1122) USCG 2100 2ND STREET SW, SUITE 5314
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City | WASHINGTON
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State | DC
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Zip | 20593-0001
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Country | US
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Telephone | 202-267-6070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | ODENTON
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State | MD
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Zip | 21113-0400
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Country | US
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Telephone | 410-507-9775
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA002326L
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License Number State | PA
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