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General NPI Number Information
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NPI Number | 1013393164
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Entity Type | Individual
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Provider Name | ROGER HICKS LMT
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Gender | Male
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 2060 CAMPUS DR
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City | YREKA
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State | CA
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Zip | 96097-9538
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Country | US
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Telephone | 530-598-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 16735 GREENWOOD LN
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City | WEED
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State | CA
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Zip | 96094-9451
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Country | US
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Telephone | 314-974-1014
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Fax |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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