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General NPI Number Information
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NPI Number | 1356939482
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Entity Type | Individual
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Provider Name | WILLIAM ADAM HIGHAM PA-S
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Gender | Male
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 302B TYSON AVE
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City | PARIS
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State | TN
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Zip | 38242
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Country | US
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Telephone | 731-407-7650
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 S MAIN ST
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City | LOBELVILLE
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State | TN
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Zip | 37097-3459
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Country | US
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Telephone | 931-622-7903
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4663
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License Number State | TN
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