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NPI 1366773350

NPI 1366773350 : ANGELA M HIGGS CRNA : PAOLI, IN

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General NPI Number Information
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    NPI Number           |    1366773350
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA M HIGGS CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2010
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    Last Update Date     |    02/07/2025
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Provider Practice Location Address
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    Address Line         |    642 W HOSPITAL RD 
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    City                 |    PAOLI
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    State                |    IN
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    Zip                  |    47454-9672
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    Country              |    US
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    Telephone            |    812-723-7453
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    Fax                  |    812-723-7500
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Provider Business Mailing Address
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    Address Line         |    250 N SHADELAND AVE 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-4959
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    Country              |    US
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    Telephone            |    
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    687771
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    28148386A
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    License Number State |    IN
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