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General NPI Number Information
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NPI Number | 1023558749
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE HICKS M.A.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 400 TEXAS ST STE 1050-06
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City | SHREVEPORT
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State | LA
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Zip | 71101-3525
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Country | US
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Telephone | 318-820-2022
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Fax | 318-771-7852
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Provider Business Mailing Address
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Address Line | 400 TEXAS ST STE 1050-06
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City | SHREVEPORT
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State | LA
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Zip | 71101-3525
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Country | US
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Telephone | 318-820-2022
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Fax | 318-771-7852
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6983
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License Number State | LA
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