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General NPI Number Information
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NPI Number | 1841154283
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Entity Type | Individual
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Provider Name | SHANAY KIERRA HAWKINS
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 11401 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5428
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Country | US
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Telephone | 216-307-7687
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Fax | 216-432-7258
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Provider Business Mailing Address
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Address Line | 20080 SEMINOLE RD
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City | EUCLID
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State | OH
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Zip | 44117-2312
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Country | US
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Telephone | 216-832-4374
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | OH
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