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General NPI Number Information
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NPI Number | 1053663310
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Entity Type | Organization
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Legal Business Name | H DOUGLAS HOLLIDAY MD PLLC
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE SUITE 530
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-222-1241
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Fax | 615-222-1245
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Provider Business Mailing Address
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Address Line | 2912 POLO CLUB RD
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City | NASHVILLE
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State | TN
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Zip | 37221-4343
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Country | US
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Telephone | 615-584-9914
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Fax | 615-222-1245
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | HUGH DOUGLAS HOLLIDAY
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Credential | M.D.
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Telephone | 615-584-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10586
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License Number State | TN
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