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NPI 1902800378

NPI 1902800378 : RODNEY JAMES HAWK M.D. : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1902800378
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    Entity Type          |    Individual 
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    Provider Name        |    RODNEY JAMES HAWK M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2005
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    Last Update Date     |    07/06/2016
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Provider Practice Location Address
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    Address Line         |    80 DOCTORS DR SUITE 2
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28792-7290
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    Country              |    US
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    Telephone            |    828-650-2748
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    Fax                  |    828-650-2799
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1869 
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    City                 |    FLETCHER
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    State                |    NC
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    Zip                  |    28732-1869
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    Country              |    US
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    Telephone            |    828-687-5616
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    Fax                  |    828-650-8076
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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        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    21660
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    License Number State |    NC
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