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General NPI Number Information
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NPI Number | 1285988154
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Entity Type | Individual
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Provider Name | BRENDA KAY HIGGINS NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 1503 HIGHWAY 45 N
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City | COLUMBUS
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State | MS
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Zip | 39705-2113
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Country | US
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Telephone | 662-328-9623
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Fax |
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Provider Business Mailing Address
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Address Line | 703 16TH AVE S
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City | COLUMBUS
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State | MS
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Zip | 39701-6927
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Country | US
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Telephone | 662-574-1439
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | R840052
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License Number State | MS
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