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General NPI Number Information
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NPI Number | 1770871741
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Entity Type | Individual
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Provider Name | MR. JOE W. HIGGINS JR.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 03/27/2021
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Provider Practice Location Address
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Address Line | 516 W MAIN ST STE B
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City | SMITHVILLE
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State | TN
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Zip | 37166-1142
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Country | US
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Telephone | 615-597-7822
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Fax | 615-597-1112
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Provider Business Mailing Address
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Address Line | 129 BRIXTON RDG
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City | LEBANON
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State | TN
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Zip | 37087-1620
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Country | US
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Telephone | 256-230-5218
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Fax | 615-597-1112
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3922
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License Number State | TN
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