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General NPI Number Information
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NPI Number | 1053303727
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Entity Type | Individual
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Provider Name | CHRISTOPHER MATTHEW HOLLAND DPM
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3403 E RAYMOND ST STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4783
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Country | US
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Telephone | 317-957-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 3403 E RAYMOND ST STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4783
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Country | US
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Telephone | 317-957-2000
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 234
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00234
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 234
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 07001439A
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License Number State | IN
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