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General NPI Number Information
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NPI Number | 1811426216
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Entity Type | Organization
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Legal Business Name | HIGHER GROUND SERVICES LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1675 REPUBLIC PKWY STE 190A
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City | MESQUITE
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State | TX
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Zip | 75150-6902
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Country | US
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Telephone | 469-251-0711
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Fax | 469-213-3022
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Provider Business Mailing Address
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Address Line | 624 YOSEMITE TRL
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City | MESQUITE
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State | TX
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Zip | 75149-2583
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Country | US
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Telephone | 469-251-0711
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Fax | 469-213-3022
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Authorized Official
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Title or Position | MANAGER
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Name | DORIS K EGYAWAN
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Credential |
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Telephone | 469-251-0711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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