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General NPI Number Information
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NPI Number | 1821804931
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Entity Type | Individual
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Provider Name | PAMALA HIGUERA NP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 233 BROAD ST
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City | BRIDGEWATER
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State | MA
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Zip | 02324-1786
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Country | US
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Telephone | 508-807-5265
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Fax |
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Provider Business Mailing Address
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Address Line | 19 WAVERLY PARK RD
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City | BROCKTON
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State | MA
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Zip | 02302-4424
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Country | US
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Telephone | 508-649-3588
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN250718
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License Number State | MA
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