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General NPI Number Information
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NPI Number | 1427246677
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Entity Type | Individual
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Provider Name | LYNN ELISE HICKOX PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4100 E MISSISSIPPI AVE STE 1122
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City | DENVER
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State | CO
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Zip | 80246-3048
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Country | US
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Telephone | 307-205-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 N BROADWELL AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-2153
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Country | US
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Telephone | 308-382-3660
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Fax | 308-385-2737
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 3156
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12736
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License Number State | NE
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