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General NPI Number Information
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NPI Number | 1376403147
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Entity Type | Organization
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Legal Business Name | HIGHTIDE HEALTHCARE PLLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 5200 N CROATAN HWY STE 9
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City | KITTY HAWK
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State | NC
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Zip | 27949-3990
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Country | US
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Telephone | 757-515-8071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1048
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City | KITTY HAWK
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State | NC
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Zip | 27949-1048
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Country | US
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Telephone | 757-515-8071
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | LEAH H WOOLRIDGE
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Credential | FNP-BC
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Telephone | 757-515-8071
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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 |
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License Number State |
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