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General NPI Number Information
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NPI Number | 1649152109
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Entity Type | Individual
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Provider Name | PAUL RAY HICKS RN
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Gender | Male
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 6801 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36608-3709
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Country | US
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Telephone | 251-633-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 320 FOX CHASE DR
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City | GADSDEN
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State | AL
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Zip | 35903-4597
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Country | US
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Telephone | 256-553-0153
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 1-187839
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License Number State | AL
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