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General NPI Number Information
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NPI Number | 1134783095
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Entity Type | Individual
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Provider Name | TAI CHRISTOPHER HOLLAND MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2019
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 833 CHESTNUT ST FL 12
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4414
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Country | US
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Telephone | 267-297-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 322 N BROAD ST APT 1442
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1118
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Country | US
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Telephone | 510-406-4156
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IA
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