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General NPI Number Information
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NPI Number | 1144984238
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Entity Type | Individual
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Provider Name | HOLLIE ELIZABETH SHARROCK APRN-CNP, APRN-CNM
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Gender | Female
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2600 SAINT MICHAEL DR
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City | TEXARKANA
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State | TX
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Zip | 75503-2372
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Country | US
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Telephone | 903-614-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 6418 OLD 21 RD
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City | IDABEL
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State | OK
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Zip | 74745-5329
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Country | US
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Telephone | 870-279-3300
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1175664
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 207959
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 207959
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 207959
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 207959
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License Number State | AR
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 207959
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License Number State | OK
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