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General NPI Number Information
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NPI Number | 1659407302
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Entity Type | Individual
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Provider Name | ANGELA D HIGGINS P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 12/31/2008
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Provider Practice Location Address
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Address Line | 3 PROFESSIONAL PARK DR SUITE 10
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6529
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Country | US
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Telephone | 423-926-4331
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Fax | 423-926-5767
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Provider Business Mailing Address
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Address Line | 3 PROFESSIONAL PARK DR SUITE 10
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6529
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Country | US
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Telephone | 423-926-4331
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Fax | 423-926-5767
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5820
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License Number State | TN
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