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General NPI Number Information
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NPI Number | 1538860622
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Entity Type | Individual
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Provider Name | HOPE KICKLIGHTER LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 2305 N GATEWAY AVE
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City | HARRIMAN
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State | TN
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Zip | 37748-8665
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Country | US
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Telephone | 800-805-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 339 ATHENS WAY APT 318
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City | NASHVILLE
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State | TN
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Zip | 37228-3007
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Country | US
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Telephone | 205-245-5187
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LG200002751
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13834
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License Number State | TN
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