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NPI 1801838453

NPI 1801838453 : BETHANY HAWKINS-PARRY LCSW : GEORGETOWN, DE

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General NPI Number Information
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    NPI Number           |    1801838453
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    Entity Type          |    Individual 
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    Provider Name        |    BETHANY HAWKINS-PARRY LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/11/2006
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    Last Update Date     |    04/04/2018
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Provider Practice Location Address
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    Address Line         |    113 W NORTH ST 
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    City                 |    GEORGETOWN
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    State                |    DE
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    Zip                  |    19947-2134
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    Country              |    US
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    Telephone            |    302-245-4254
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    Fax                  |    302-544-4580
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Provider Business Mailing Address
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    Address Line         |    20466 CEDAR BEACH RD 
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    City                 |    MILFORD
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    State                |    DE
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    Zip                  |    19963-4260
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    Country              |    US
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    Telephone            |    443-340-3062
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    Fax                  |    302-544-4580
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    Q10000831
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    License Number State |    DE
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