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General NPI Number Information
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NPI Number | 1871637967
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Entity Type | Organization
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Legal Business Name | MICHON HAWKINS, D.C. INC.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6350 LBJ FREEWAY, STE 166
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City | DALLAS
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State | TX
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Zip | 75240-6403
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Country | US
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Telephone | 972-386-9332
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Fax | 972-386-0030
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Provider Business Mailing Address
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Address Line | 6350 LBJ FREEWAY, STE 166
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City | DALLAS
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State | TX
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Zip | 75240-6403
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Country | US
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Telephone | 972-386-9332
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Fax | 972-386-0030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHON M HAWKINS
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Credential | DC
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Telephone | 972-386-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 6301
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License Number State | TX
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