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General NPI Number Information
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NPI Number | 1427961101
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Entity Type | Individual
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Provider Name | MOLLIE LYNN FICKER MS, CGC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 975 W WALNUT ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5181
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Country | US
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Telephone | 513-340-3593
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Fax |
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Provider Business Mailing Address
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Address Line | 5102 ASTOR WAY
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City | MCCORDSVILLE
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State | IN
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Zip | 46055-0444
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Country | US
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Telephone | 513-340-3593
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 74000801A
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License Number State | IN
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