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General NPI Number Information
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NPI Number | 1164515862
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Entity Type | Individual
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Provider Name | MARGARET SMITH HOLLAND M.S.W., CSAC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 3214 ELECTRIC RD STE 207
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City | ROANOKE
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State | VA
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Zip | 24018-6443
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Country | US
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Telephone | 540-774-4205
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Fax | 540-774-3080
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Provider Business Mailing Address
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Address Line | PO BOX 21844 P. O. BOX 21844
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City | ROANOKE
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State | VA
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Zip | 24018-0186
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Country | US
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Telephone | 540-774-4205
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Fax | 540-774-3080
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904003969
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License Number State | VA
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