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General NPI Number Information
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NPI Number | 1861813420
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Entity Type | Individual
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Provider Name | KATRINA DAVIS-HICKS
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Gender | Female
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1433 N WATER STREET FLOORS 4 & 5
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City | MILWAUKEE
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State | WI
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Zip | 53202-5320
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Country | US
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Telephone | 262-288-5994
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 N WATER STREET FLOORS 4 & 5
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City | MILWAUKEE
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State | WI
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Zip | 53202-3432
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Country | US
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Telephone | 262-288-5994
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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