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General NPI Number Information
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NPI Number | 1629685557
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Entity Type | Organization
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Legal Business Name | HIGHLAND GYNECOLOGY PLLC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 1680 ANTILLEY RD STE 350
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City | ABILENE
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State | TX
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Zip | 79606-5266
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Country | US
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Telephone | 325-704-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 BUFFALO GAP RD STE 2400C
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City | ABILENE
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State | TX
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Zip | 79606-2723
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Country | US
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Telephone | 253-695-4133
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RACHAEL HAVERLAND
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Credential | MD
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Telephone | 325-665-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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