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General NPI Number Information
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NPI Number | 1811891500
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Entity Type | Individual
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Provider Name | ETHAN THOMAS HIGHTOWER
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Gender | Male
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 222 MEMORIAL DR
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City | GATESVILLE
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State | TX
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Zip | 76528-1029
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Country | US
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Telephone | 737-356-2396
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BLAKELY RD
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City | GATESVILLE
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State | TX
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Zip | 76528-4561
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Country | US
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Telephone | 254-278-0683
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 775795
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License Number State | TX
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