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General NPI Number Information
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NPI Number | 1740067305
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Entity Type | Individual
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Provider Name | STEPHANIE SHANNON HIGGINS NP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 691 E EMPIRE ST
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City | CORTEZ
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State | CO
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Zip | 81321-2802
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Country | US
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Telephone | 970-565-7946
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Fax |
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Provider Business Mailing Address
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Address Line | 150 MERCURY VILLAGE DR
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City | DURANGO
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State | CO
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Zip | 81301-8955
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Country | US
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Telephone | 970-335-2422
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0999104-NP
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License Number State | CO
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