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General NPI Number Information
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NPI Number | 1881149920
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Entity Type | Individual
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Provider Name | KATHRYN JONELL HIGGINS RN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 1305 E JOLLY RD
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City | LANSING
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State | MI
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Zip | 48910-7146
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Country | US
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Telephone | 517-346-8380
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Fax | 517-346-8447
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Provider Business Mailing Address
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Address Line | 812 E JOLLY RD STE 210
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City | LANSING
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State | MI
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Zip | 48910-6821
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Country | US
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Telephone | 517-346-8112
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Fax | 517-346-8291
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 4704225714
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License Number State | MI
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