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General NPI Number Information
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NPI Number | 1881050904
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Entity Type | Individual
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Provider Name | TONI DEAN HICKMAN PSY.D
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 11/22/2017
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Provider Practice Location Address
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Address Line | 1813 MARSH RD STE C
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City | WILMINGTON
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State | DE
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Zip | 19810-4544
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Country | US
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Telephone | 302-690-4133
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Fax |
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Provider Business Mailing Address
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Address Line | 36 PAXON DR
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City | WILMINGTON
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State | DE
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Zip | 19803-2002
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Country | US
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Telephone | 302-690-4133
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | B1-0001046
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License Number State | DE
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