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General NPI Number Information
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NPI Number | 1003361098
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Entity Type | Individual
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Provider Name | HOLLY THRAILKILL AGPCNP
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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 | 06/25/2026
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Provider Practice Location Address
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Address Line | 4501 SPICEWOOD SPRINGS RD STE 1000
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City | AUSTIN
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State | TX
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Zip | 78759-8543
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Country | US
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Telephone | 512-200-3876
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Fax | 512-727-2319
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Provider Business Mailing Address
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Address Line | 605 KATMAI CIR STE 1000
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-5922
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Country | US
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Telephone | 512-200-3876
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Fax | 512-727-2319
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP142207
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 759628
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 759528
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 759528
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License Number State | TX
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