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General NPI Number Information
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NPI Number | 1952701948
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Entity Type | Individual
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Provider Name | MEGAN A HICKS PTA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 2243 S MERIDIAN AVE STE 105
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City | WICHITA
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State | KS
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Zip | 67213-1949
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Country | US
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Telephone | 316-942-5448
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Fax | 316-945-5694
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Provider Business Mailing Address
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Address Line | 200 W DOUGLAS AVE STE 1040
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City | WICHITA
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State | KS
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Zip | 67202-3013
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Country | US
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Telephone | 316-263-0003
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Fax | 316-263-1241
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 1402752
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License Number State | KS
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