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General NPI Number Information
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NPI Number | 1134301278
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Entity Type | Organization
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Legal Business Name | HOLLOWAY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 7109 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5022
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Country | US
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Telephone | 210-525-8550
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Fax | 210-525-8575
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Provider Business Mailing Address
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Address Line | 7109 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5022
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Country | US
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Telephone | 210-525-8550
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Fax | 210-525-8575
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MICHAEL A HOLLOWAY
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Credential | DC 9166
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Telephone | 210-525-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9166
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License Number State | TX
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