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General NPI Number Information
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NPI Number | 1659681989
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Entity Type | Organization
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Legal Business Name | JOSEPH HALL HIGGINSON D.M.D., M.S.O.
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 2868 FARRELL CRES
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City | OWENSBORO
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State | KY
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Zip | 42303-1392
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Country | US
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Telephone | 270-684-0822
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Fax | 270-683-3991
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Provider Business Mailing Address
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Address Line | 2868 FARRELL CRES
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City | OWENSBORO
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State | KY
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Zip | 42303-1392
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Country | US
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Telephone | 270-684-0822
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Fax | 270-683-3991
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. JOSEPH H. HIGGINSON
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Credential | D.M.D., M.S.O.
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Telephone | 270-684-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4820
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License Number State | KY
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