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General NPI Number Information
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NPI Number | 1376987420
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Entity Type | Organization
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Legal Business Name | KATRINA HIGGINS, PLLC
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 920 ALDER AVE SUITE 207
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City | SUMNER
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State | WA
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Zip | 98390-1401
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Country | US
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Telephone | 253-230-7919
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Fax | 253-883-3535
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Provider Business Mailing Address
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Address Line | 920 ALDER AVE SUITE 207
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City | SUMNER
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State | WA
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Zip | 98390-1401
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Country | US
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Telephone | 253-230-7919
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Fax | 253-883-3535
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | KATRINA L HIGGINS
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Credential | PSYD
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Telephone | 253-230-7919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 60116078
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License Number State | WA
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