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General NPI Number Information
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NPI Number | 1558005025
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Entity Type | Individual
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Provider Name | MARGARET HICKS PSYD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 7863 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5553
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Country | US
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Telephone | 219-779-7339
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Fax |
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Provider Business Mailing Address
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Address Line | 1628 EDITH WAY
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City | CROWN POINT
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State | IN
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Zip | 46307-9191
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Country | US
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Telephone | 219-663-0571
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number |
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License Number State |
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