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General NPI Number Information
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NPI Number | 1003203431
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Entity Type | Individual
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Provider Name | ELLEN MYREE HICKS ATC
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Gender | Female
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 5939 FLANK CIR
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City | PORT REPUBLIC
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State | VA
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Zip | 24471-2231
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Country | US
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Telephone | 540-828-5368
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Fax | 540-515-3763
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Provider Business Mailing Address
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Address Line | 5939 FLANK CIR
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City | PORT REPUBLIC
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State | VA
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Zip | 24471-2231
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Country | US
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Telephone | 540-828-5368
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Fax | 540-515-3763
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126000363
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License Number State | VA
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