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General NPI Number Information
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NPI Number | 1477619757
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Entity Type | Individual
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Provider Name | PATRICIA HILLIGOSS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 990 TAMIAMI TRL N
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City | NAPLES
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State | FL
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Zip | 34102-5403
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Country | US
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Telephone | 239-434-6300
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Fax | 239-434-7174
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Provider Business Mailing Address
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Address Line | 1886 MORNING SUN LN
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City | NAPLES
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State | FL
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Zip | 34119-3321
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Country | US
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Telephone | 848-702-4462
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 9104013
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License Number State | FL
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