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General NPI Number Information
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NPI Number | 1831483684
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Entity Type | Individual
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Provider Name | EVAN HAWKINS ALLIE MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 2220 PATTERSON STREET
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-342-1699
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Fax |
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Provider Business Mailing Address
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Address Line | 169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333
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City | CHARLESTON
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State | SC
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Zip | 29425-8905
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Country | US
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Telephone |
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 0000051427
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License Number State | TN
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