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General NPI Number Information
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NPI Number | 1194837245
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Entity Type | Individual
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Provider Name | WILLIAM BARDON HIGGINS DC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 850 W. IRONWOOD DR SUITE 102
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City | COEUR D'ALENE
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State | ID
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Zip | 83814
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Country | US
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Telephone | 208-966-9376
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Fax | 208-966-5756
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Provider Business Mailing Address
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Address Line | 850 W. IRONWOOD DR SUITE 102
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City | COEUR D'ALENE
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State | ID
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Zip | 83814
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Country | US
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Telephone | 208-777-7463
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Fax | 208-777-9659
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA982
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License Number State | ID
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