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General NPI Number Information
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NPI Number | 1811207111
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER A HAWKINS D.D.S., P.C
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 1304 NW JOHN JONES DR
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City | BURLESON
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State | TX
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Zip | 76028-8040
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Country | US
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Telephone | 817-447-6453
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Fax | 817-426-2816
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Provider Business Mailing Address
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Address Line | 1304 NW JOHN JONES DR
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City | BURLESON
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State | TX
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Zip | 76028-8040
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Country | US
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Telephone | 817-447-6453
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Fax | 817-426-2816
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CHRISTOPHER ALLAN HAWKINS
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Credential | DDS
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Telephone | 817-447-6453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23598
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License Number State | TX
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