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General NPI Number Information
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NPI Number | 1306092176
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Entity Type | Individual
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Provider Name | MR. DAVID JAMES HIGGINBOTHAM
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Gender | Male
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 10932 NW EXPRESSWAY STE B-3
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City | YUKON
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State | OK
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Zip | 73099-8763
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Country | US
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Telephone | 405-777-3066
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Fax | 888-527-1140
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Provider Business Mailing Address
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Address Line | 10932 NW EXPRESSWAY STE B-3
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City | YUKON
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State | OK
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Zip | 73099-8763
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Country | US
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Telephone | 405-777-3066
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Fax | 888-527-1140
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 943
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License Number State | OK
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