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General NPI Number Information
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NPI Number | 1942850516
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Entity Type | Individual
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Provider Name | MIKAYLA HENICKS
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 3106 S W S YOUNG DR # B204
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City | KILLEEN
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State | TX
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Zip | 76542-2000
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Country | US
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Telephone | 254-312-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 2705 DIAZ DR
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City | KILLEEN
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State | TX
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Zip | 76549-3375
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Country | US
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Telephone | 254-681-1988
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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