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General NPI Number Information
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NPI Number | 1780234369
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Entity Type | Individual
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Provider Name | MICHAEL CHRISTOPHER HAWKES NP-C
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Gender | Male
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 7233 E BASELINE RD STE 126
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City | MESA
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State | AZ
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Zip | 85209-5007
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Country | US
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Telephone | 480-699-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1230 S SUNNYVALE
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City | MESA
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State | AZ
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Zip | 85206-6700
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Country | US
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Telephone | 480-278-3275
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RNP232235
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License Number State | AZ
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