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General NPI Number Information
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NPI Number | 1245169176
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Entity Type | Individual
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Provider Name | AARON JEMAL HIGGINBOTHAM
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Gender | Male
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 1200 CONCORD AVE
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City | CONCORD
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State | CA
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Zip | 94520-4915
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Country | US
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Telephone | 510-268-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 240 CALDECOTT LN # OAKLAND
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City | OAKLAND
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State | CA
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Zip | 94618-2410
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Country | US
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Telephone | 415-973-7000
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | AN344
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License Number State | CA
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