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General NPI Number Information
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NPI Number | 1083798169
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Entity Type | Individual
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Provider Name | MICHAEL D HAIGHT D.C., FNP, RN
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 650 JOEL DR
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City | FORT CAMPBELL
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State | KY
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Zip | 42223-8355
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Country | US
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Telephone | 270-412-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 2454 ELLSWORTH DR
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City | CLARKSVILLE
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State | TN
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Zip | 37043-2004
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Country | US
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Telephone | 423-503-8392
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3011150
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC2153
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22328
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 193152
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License Number State | TN
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