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General NPI Number Information
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NPI Number | 1093677809
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Entity Type | Individual
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Provider Name | OLIVIA NICOLE HOLLAND APRN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1941 BISHOP LN STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40218-1973
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Country | US
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Telephone | 502-888-1988
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Fax | 502-452-6577
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Provider Business Mailing Address
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Address Line | PO BOX 381468
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City | GERMANTOWN
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State | TN
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Zip | 38183-1468
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Country | US
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Telephone |
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Fax | 901-328-1355
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4046750
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License Number State | KY
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