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General NPI Number Information
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NPI Number | 1851826408
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Entity Type | Individual
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Provider Name | JASON E HIGGS PA
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Gender | Male
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 508 STOCKTRAIL AVENUE SUITE A
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City | GILLETTE
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State | WY
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Zip | 82716-3582
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Country | US
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Telephone | 307-686-1413
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Fax | 307-688-7940
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Provider Business Mailing Address
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Address Line | 508 STOCKTRAIL AVENUE SUITE A
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City | GILLETTE
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State | WY
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Zip | 82716-3582
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Country | US
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Telephone | 307-686-1413
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Fax | 307-688-7940
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA798
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License Number State | WY
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