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General NPI Number Information
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NPI Number | 1780364695
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Entity Type | Individual
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Provider Name | THOMAS ARIC HAWKINS DMD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 15820 SHADDOCK DR STE 160
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5776
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Country | US
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Telephone | 407-993-6370
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Fax |
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Provider Business Mailing Address
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Address Line | 5388 MAST ST UNIT 303
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City | ORLANDO
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State | FL
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Zip | 32814-6949
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Country | US
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Telephone | 850-212-7951
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859891
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN31736
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License Number State | FL
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