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General NPI Number Information
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NPI Number | 1699746099
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Entity Type | Individual
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Provider Name | PATRICK E HICKEY ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1773 W SAINT MARYS RD STE 105
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City | TUCSON
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State | AZ
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Zip | 85745-2654
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Country | US
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Telephone | 520-622-8357
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Fax | 520-622-1028
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Provider Business Mailing Address
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Address Line | 2851 S AVENUE B BLDG 4
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City | YUMA
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State | AZ
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Zip | 85364-7726
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Country | US
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Telephone | 928-376-0026
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Fax | 928-782-2298
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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 | 3122672
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | MSL3122672FL
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP3122672
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License Number State | FL
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