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General NPI Number Information
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NPI Number | 1154478071
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Entity Type | Individual
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Provider Name | HOLLY LYN PRESSBURG NP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1050 PACIFIC COAST HWY
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City | HARBOR CITY
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State | CA
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Zip | 90710-3509
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Country | US
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Telephone | 310-517-3365
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Fax | 310-517-4092
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Provider Business Mailing Address
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Address Line | 167 E SOUTH ST
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City | LONG BEACH
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State | CA
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Zip | 90805-4021
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Country | US
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Telephone | 562-428-7710
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Fax | 310-517-4092
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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 | V319098
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License Number State | CA
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