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General NPI Number Information
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NPI Number | 1548944291
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Entity Type | Individual
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Provider Name | TED ALLAN HIGHTOWER DMD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2594 CALUMET TRCE
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City | OWENSBORO
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State | KY
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Zip | 42303-4673
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Country | US
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Telephone | 364-800-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 2421 WATSON CIR
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City | OWENSBORO
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State | KY
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Zip | 42301-6773
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Country | US
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Telephone | 502-718-2957
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN28050
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11412
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License Number State | KY
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