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NPI Code Detail

MEDICARE: WAVERLEY J HAWKINS

MEDICARE: WAVERLEY J 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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1912852633
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAVERLEY J HAWKINS
Provider Business Mailing Address
First Line : 6465 SYLVANIA AVE
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-3916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6465 SYLVANIA AVE
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-3916
Country : US
Telephone Number : 419-885-4485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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Directions to “ WAVERLEY J HAWKINS ” Practice Location

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