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General NPI Number Information
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NPI Number | 1134601149
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Entity Type | Individual
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Provider Name | BRANDI HICKS DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 4041 E SAN MIGUEL ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3537
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Country | US
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Telephone | 719-344-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 7314 ALLENS PARK DR
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City | COLO SPGS
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State | CO
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Zip | 80922-1278
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Country | US
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Telephone | 605-490-2707
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0994076-NP
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License Number State | CO
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