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General NPI Number Information
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NPI Number | 1598076309
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Entity Type | Individual
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Provider Name | RANA M HIGGINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 9200 W WISCONSIN AVE GENERAL SURGERY
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-805-5700
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Fax | 414-259-9225
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Provider Business Mailing Address
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Address Line | 9200 W WISCONSIN AVE GENERAL SURGERY
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-805-5700
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Fax | 414-259-9225
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125-058670
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 63485
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License Number State | WI
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