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General NPI Number Information
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NPI Number | 1831802495
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Entity Type | Individual
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Provider Name | TAYLOR LEE HIGBEE DPT
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Gender | Male
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1441 PARKWAY DR STE B
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City | BLACKFOOT
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State | ID
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Zip | 83221-1667
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Country | US
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Telephone | 208-785-3446
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Fax | 208-980-7241
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Provider Business Mailing Address
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Address Line | 1441 PARKWAY DR STE B
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City | BLACKFOOT
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State | ID
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Zip | 83221-1667
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Country | US
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Telephone | 208-785-3446
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Fax | 208-980-7241
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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