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NPI Code Detail

MEDICARE: SARAH HAWKINS

MEDICARE: SARAH HAWKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2106H00000XMarriage & Family TherapistMI3065NV

General Provider Information

NPI Number : 1154734143
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HAWKINS
Provider Business Mailing Address
First Line : 7040 LAREDO ST STE K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3044
Country : US
Telephone Number : 702-331-4874
Fax Number :
Provider Business Practice Location Address
First Line : 7040 LAREDO ST STE K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3044
Country : US
Telephone Number : 702-331-4874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2014
Last Update Date : 11/06/2020

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