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General NPI Number Information
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NPI Number | 1770324642
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Entity Type | Organization
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Legal Business Name | HIGA BARIATRICS LLC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1712 W ANKLAM RD STE 101
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City | TUCSON
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State | AZ
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Zip | 85745-2660
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Country | US
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Telephone | 520-207-2384
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Fax | 520-367-4297
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Provider Business Mailing Address
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Address Line | 1712 W ANKLAM RD STE 101
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City | TUCSON
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State | AZ
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Zip | 85745-2660
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Country | US
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Telephone | 520-207-2384
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Fax | 520-367-4297
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Authorized Official
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Title or Position | OWNER
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Name | GUILLERMO HIGA
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Credential | MD
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Telephone | 520-461-8262
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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