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General NPI Number Information
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NPI Number | 1609389113
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Entity Type | Organization
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Legal Business Name | HIGGINS MANI WATSON VII DDS PA
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 2470 EMERALD PL STE A
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City | GREENVILLE
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State | NC
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Zip | 27834-5786
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Country | US
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Telephone | 252-281-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 3612 EAGLE POINT LN
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City | WILSON
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State | NC
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Zip | 27896-7394
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Country | US
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Telephone | 252-281-2232
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Fax | 252-281-2163
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Authorized Official
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Title or Position | INSURANCE DATA SPECIALIST
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Name | MAGGIE HAILEY
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Credential |
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Telephone | 252-281-2232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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