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General NPI Number Information
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NPI Number | 1730056383
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Entity Type | Individual
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Provider Name | DANIKA RAE LYNN HACKING PPC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2900 E GRAND AVE UNIT 13
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City | LARAMIE
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State | WY
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Zip | 82070-5268
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Country | US
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Telephone | 785-341-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 E GRAND AVE UNIT 13
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City | LARAMIE
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State | WY
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Zip | 82070-5268
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Country | US
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Telephone | 307-349-9865
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PPC-1605
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License Number State | WY
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