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General NPI Number Information
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NPI Number | 1629449178
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Entity Type | Organization
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Legal Business Name | MICHAEL W HIGGINS DO PA DBA HERNANDO ORTHOPAEDIC & SPINAL SURGERY
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 13020 FORT KING RD SUITE 102
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City | DADE CITY
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State | FL
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Zip | 33525-5222
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Country | US
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Telephone | 352-688-6035
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Fax | 352-688-6219
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Provider Business Mailing Address
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Address Line | 13020 FORT KING RD SUITE 102
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City | DADE CITY
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State | FL
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Zip | 33525-5222
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Country | US
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Telephone | 352-688-6035
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Fax | 352-688-6219
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHAEL W HIGGINS
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Credential | D.O.
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Telephone | 352-688-6035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS7550
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License Number State | FL
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