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General NPI Number Information
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NPI Number | 1396850509
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Entity Type | Individual
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Provider Name | HOLLY HIGINBOTHAM PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 741 NORTH ST BRIEN FAMILY CENTER
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City | PITTSFIELD
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State | MA
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Zip | 01201-4109
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Country | US
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Telephone | 413-447-2145
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Fax | 413-447-3245
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Provider Business Mailing Address
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Address Line | 1957 OLD ROUTE 9
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City | WINDSOR
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State | MA
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Zip | 01270-9399
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Country | US
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Telephone | 413-684-3724
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7711
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License Number State | MA
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