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General NPI Number Information
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NPI Number | 1205858172
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Entity Type | Organization
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Legal Business Name | HIGGINBOTHAM & NEASE ORTHODONTICS, P.A.
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2455 E MAIN ST
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City | SPARTANBURG
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State | SC
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Zip | 29307-1415
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Country | US
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Telephone | 864-579-7700
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Fax | 864-579-7703
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Provider Business Mailing Address
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Address Line | 2455 E MAIN ST
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City | SPARTANBURG
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State | SC
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Zip | 29307-1415
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Country | US
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Telephone | 864-579-7700
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Fax | 864-579-7703
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC R NEASE
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Credential | D.D.S.
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Telephone | 864-579-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 003641
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License Number State | SC
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