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General NPI Number Information
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NPI Number | 1609946334
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Entity Type | Individual
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Provider Name | YVONNE N HIGDON CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 UNIVERSITY BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35402-0707
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Country | US
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Telephone | 205-759-0633
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Fax | 205-759-0133
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Provider Business Mailing Address
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Address Line | PO BOX 20707 200 UNIVERSITY BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35402-0707
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Country | US
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Telephone | 207-759-0633
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Fax | 205-759-0133
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1026954
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License Number State | AL
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