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General NPI Number Information
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NPI Number | 1639633282
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Entity Type | Individual
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Provider Name | MEGAN MARIE HICKSON
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Gender | Female
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 1914 SWIFT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64116-3447
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Country | US
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Telephone | 816-221-1603
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 SWIFT AVE
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City | KANSAS CITY
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State | MO
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Zip | 64116-3447
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Country | US
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Telephone | 816-221-1603
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12022
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14131720012
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2014013260
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020019707
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License Number State | MO
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