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General NPI Number Information
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NPI Number | 1811437932
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Entity Type | Organization
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Legal Business Name | HAWN ENTERPRISES LLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 10 W PHILLIP RD SUITE 123
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City | VERNON HILLS
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State | IL
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Zip | 60061-1799
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Country | US
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Telephone | 224-433-6087
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Fax |
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Provider Business Mailing Address
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Address Line | 1491 S AMARIAS DR
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City | ROUND LAKE
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State | IL
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Zip | 60073-4279
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Country | US
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Telephone | 847-596-0408
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN HAWN
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Credential |
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Telephone | 224-433-6087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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