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General NPI Number Information
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NPI Number | 1134713001
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Entity Type | Organization
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Legal Business Name | JAMES HOLLAND JR, LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 4646 WILSON RD STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-5895
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Country | US
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Telephone | 661-264-6428
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Fax | 844-361-4927
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Provider Business Mailing Address
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Address Line | PO BOX 21662
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City | BAKERSFIELD
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State | CA
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Zip | 93390-1662
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Country | US
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Telephone | 661-264-6428
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Fax | 844-361-4927
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. JAMES EARL HOLLAND JR.
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Credential | LCSW, MSW
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Telephone | 661-264-6428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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