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General NPI Number Information
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NPI Number | 1811312531
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Entity Type | Individual
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Provider Name | MARTA HAWKINS M. ED
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Gender | Female
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 305 LOUISIANA AVE
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City | LORAIN
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State | OH
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Zip | 44052-2256
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Country | US
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Telephone | 440-288-1002
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Fax | 440-288-1149
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Provider Business Mailing Address
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Address Line | 2350 POLE AVE
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City | LORAIN
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State | OH
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Zip | 44052-4301
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Country | US
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Telephone | 440-233-2242
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Fax | 440-233-2341
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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