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General NPI Number Information
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NPI Number | 1902457807
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Entity Type | Individual
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Provider Name | DANNY HICKS
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Gender | Male
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 1893 FM 1385 # 949
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City | AUBREY
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State | TX
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Zip | 76227-7611
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Country | US
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Telephone | 253-315-2355
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Fax |
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Provider Business Mailing Address
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Address Line | 2831 ELDORADO PKWY STE 103-385
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City | FRISCO
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State | TX
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Zip | 75033-7438
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Country | US
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Telephone | 425-999-6203
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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