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General NPI Number Information
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NPI Number | 1962324145
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Entity Type | Individual
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Provider Name | COLE TANNER HIGGINS
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Gender | Male
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 6 ESSEX CENTER DR
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City | PEABODY
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State | MA
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Zip | 01960-2904
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Country | US
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Telephone | 617-863-0835
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Fax |
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Provider Business Mailing Address
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Address Line | 90 LARCHMONT RD
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City | MELROSE
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State | MA
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Zip | 02176-2503
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Country | US
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Telephone | 860-480-9126
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1041CO700X
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License Number State |
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