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General NPI Number Information
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NPI Number | 1508223736
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Entity Type | Individual
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Provider Name | JESSICA CHRISTINE HIGHTOWER DPT
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1904 N CHURCH ST
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City | GREENSBORO
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State | NC
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Zip | 27405-5632
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Country | US
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Telephone | 336-271-4840
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Fax | 337-271-4921
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Provider Business Mailing Address
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Address Line | 6003 STONE VALLEY WAY
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City | GREENSBORO
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State | NC
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Zip | 27455-9350
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Country | US
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Telephone | 478-284-1316
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8033
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P17016
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License Number State | NC
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