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General NPI Number Information
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NPI Number | 1346906096
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Entity Type | Individual
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Provider Name | LISA ANN HIGBEE CRYOTHEROPIST
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 712 S MONROE ST
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City | LEBANON
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State | MO
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Zip | 65536-3570
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Country | US
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Telephone | 417-664-8280
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Fax |
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Provider Business Mailing Address
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Address Line | 30051 HWY F
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City | LEBANON
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State | MO
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Zip | 65536-5581
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Country | US
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Telephone | 417-664-8280
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | MO
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