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General NPI Number Information
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NPI Number | 1104481498
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Entity Type | Individual
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Provider Name | RACHEL MARIE HICKIN PHD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 190 CURRIE HALL PKWY
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City | KENT
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State | OH
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Zip | 44240-4312
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Country | US
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Telephone | 330-673-5812
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Fax |
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Provider Business Mailing Address
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Address Line | 190 CURRIE HALL PKWY
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City | KENT
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State | OH
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Zip | 44240-4312
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Country | US
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Telephone | 330-673-5812
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P.08763
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License Number State | OH
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