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General NPI Number Information
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NPI Number | 1578977682
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Entity Type | Individual
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Provider Name | ANDREW HIGDON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 07/10/2017
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-9918
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Fax | 859-323-1197
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Provider Business Mailing Address
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Address Line | 900 S. LIMESTONE, CTW304
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-9918
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Fax | 859-323-1197
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 49866
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 49866
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License Number State | KY
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