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General NPI Number Information
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NPI Number | 1780216184
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Entity Type | Organization
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Legal Business Name | LINDA HAWLEY LLC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 305 N PECOS RD STE F
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City | HENDERSON
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State | NV
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Zip | 89074-1352
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Country | US
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Telephone | 702-463-1665
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Fax | 702-463-3261
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Provider Business Mailing Address
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Address Line | 1070 W HORIZON RIDGE PKWY STE 111
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City | HENDERSON
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State | NV
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Zip | 89012-6019
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Country | US
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Telephone | 702-683-3107
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Fax | --
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | LINDA HAWLEY
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Credential | APRN
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Telephone | 702-463-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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