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General NPI Number Information
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NPI Number | 1932735727
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Entity Type | Individual
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Provider Name | TYRAH PATRICE HICKMAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 3450 HIGHWAY 80 W
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City | JACKSON
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State | MS
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Zip | 39209-7201
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Country | US
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Telephone | 601-473-6441
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 S NORRELL RD
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City | BOLTON
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State | MS
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Zip | 39041-3103
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Country | US
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Telephone | 601-473-6441
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 903798
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License Number State | MS
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