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General NPI Number Information
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NPI Number | 1356467443
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Entity Type | Organization
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Legal Business Name | HICKS & ASSOCIATES
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8331 N COLTON PL
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City | SPOKANE
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State | WA
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Zip | 99208-5874
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Country | US
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Telephone | 509-467-4243
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Fax | 509-465-8175
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Provider Business Mailing Address
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Address Line | 8331 N COLTON PL
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City | SPOKANE
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State | WA
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Zip | 99208-5874
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Country | US
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Telephone | 509-467-4243
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Fax | 509-465-8175
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Authorized Official
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Title or Position | OWNER
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Name | MR. GARY L. HICKS
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Credential | RRT
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Telephone | 509-467-4243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | WA
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