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General NPI Number Information
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NPI Number | 1366884926
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Entity Type | Individual
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Provider Name | KARLA D HIGGINBOTHAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 2436 N SHARON AMITY RD STE 102
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City | CHARLOTTE
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State | NC
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Zip | 28205-8401
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Country | US
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Telephone | 980-202-0675
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Fax |
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Provider Business Mailing Address
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Address Line | 2436 N SHARON AMITY RD STE 102
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City | CHARLOTTE
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State | NC
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Zip | 28205-8401
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME142530
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2022-00599
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R4715
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 125064109
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License Number State | IL
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