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General NPI Number Information
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NPI Number | 1003075433
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Entity Type | Individual
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Provider Name | ANTHONY DEVAN HOLLMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 2451 FILLINGIM ST
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City | MOBILE
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State | AL
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Zip | 36617-2238
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Country | US
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Telephone | 251-471-7117
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 YORKTOWNE WAY
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City | MOBILE
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State | AL
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Zip | 36695-5042
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Country | US
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Telephone | 251-639-7314
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD.30072
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License Number State | AL
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