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General NPI Number Information
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NPI Number | 1821958117
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Entity Type | Individual
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Provider Name | CLAIRE HICKS
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 110 S SALEM DR
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City | BARDSTOWN
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State | KY
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Zip | 40004-1761
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Country | US
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Telephone | 502-350-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 927 N 3RD ST
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City | BARDSTOWN
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State | KY
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Zip | 40004-2615
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Country | US
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Telephone | 502-349-5343
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4050262
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License Number State | KY
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