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General NPI Number Information
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NPI Number | 1104082155
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Entity Type | Individual
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Provider Name | CARRIE DORSEY-HIGDON NP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 400 PARNASSUS AVE STE A-550
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-353-2350
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Fax | 415-353-2337
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Provider Business Mailing Address
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Address Line | 400 PARNASSUS AVE STE A-550
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2202
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Country | US
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Telephone | 415-353-2350
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Fax | 415-353-2337
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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 | 531129
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9042
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License Number State | CA
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