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General NPI Number Information
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NPI Number | 1790132173
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Entity Type | Individual
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Provider Name | JENNIFER JONES-HICKS MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1 ENTERPRISE PKWY STE 315
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City | HAMPTON
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State | VA
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Zip | 23666-5845
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Country | US
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Telephone | 757-260-5507
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Fax | 757-208-1046
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Provider Business Mailing Address
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Address Line | 67 RED ROBIN TURN
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City | HAMPTON
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State | VA
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Zip | 23669-5914
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Country | US
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Telephone | 757-880-2468
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 123214
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202008044
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | VA
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