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General NPI Number Information
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NPI Number | 1154476299
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Entity Type | Individual
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Provider Name | PATRICIA HIGGINS D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 6800 N FRONTAGE RD
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City | BURR RIDGE
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State | IL
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Zip | 60527-7819
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Country | US
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Telephone | 708-327-1000
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Fax | 708-327-1206
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Provider Business Mailing Address
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Address Line | 10S452 GLENN DR
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City | BURR RIDGE
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State | IL
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Zip | 60527-6821
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Country | US
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Telephone | 630-920-9232
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-077433
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License Number State | IL
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