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1821082595

NPI Code Detail

MEDICARE: DR. DOUGLAS K HAWLEY MD

MEDICARE: DR. DOUGLAS K HAWLEY MD

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
1	207RH0003X	Hematology & Oncology Physician	33290	KY
2	207RX0202X	Medical Oncology Physician	35 045379	OH
3	207RH0000X	Hematology (Internal Medicine) Physician	35 045379	OH
4	207R00000X	Internal Medicine Physician	35 045379	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821082595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS K HAWLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:	CENTRAL CREDENTIALING
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-5505
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	3200 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2213
Country	:	US
Telephone Number	:	513-475-6523
Fax Number	:	513-475-6423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	09/27/2018

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Directions to “ DR. DOUGLAS K HAWLEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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