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General NPI Number Information
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NPI Number | 1164450565
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Entity Type | Individual
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Provider Name | THERESE GRIFFIN HICKS D.C., F.I.A.C.A
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 138 S BROAD ST
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City | GLOBE
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State | AZ
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Zip | 85501-2602
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Country | US
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Telephone | 928-425-3207
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Fax | 928-425-3662
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Provider Business Mailing Address
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Address Line | 138 S BROAD ST
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City | GLOBE
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State | AZ
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Zip | 85501-2602
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Country | US
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Telephone | 928-425-3207
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Fax | 928-425-3662
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3793
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 270
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License Number State | AZ
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