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General NPI Number Information
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NPI Number | 1689460610
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Entity Type | Individual
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Provider Name | HALEY HICKS APRN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1485 PINE RIDGE RD STE 1
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City | NAPLES
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State | FL
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Zip | 34109-2114
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Country | US
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Telephone | 239-579-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 28559 F B FOWLER CT
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-0401
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Country | US
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Telephone | 217-737-7642
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11038319
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License Number State | FL
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