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General NPI Number Information
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NPI Number | 1104207034
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Entity Type | Individual
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Provider Name | EBONY HOLLINS NP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 126 PHILOSOPHERS TER
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1612
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Country | US
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Telephone | 443-215-5353
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Fax | 833-615-2165
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Provider Business Mailing Address
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Address Line | 126 PHILOSOPHERS TER
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1612
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Country | US
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Telephone | 443-215-5353
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Fax | 833-615-2165
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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 | 346732
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC004640
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 254126
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 671463
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License Number State | NY
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