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General NPI Number Information
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NPI Number | 1184757890
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Entity Type | Individual
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Provider Name | HOLLY HERRIN MCCORMICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8445 SW HIGHWAY 200
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City | OCALA
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State | FL
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Zip | 34481-9607
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Country | US
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Telephone | 352-854-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 SW 98TH ST
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City | GAINESVILLE
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State | FL
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Zip | 32607-3225
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Country | US
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Telephone | 352-363-0378
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS41389
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH021743
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License Number State | GA
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