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General NPI Number Information
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NPI Number | 1225134018
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Entity Type | Individual
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Provider Name | RODNEY R HOLLAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 3702 S TIMBERLINE RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-3624
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Country | US
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Telephone | 970-207-9773
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Fax | 970-207-1893
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Provider Business Mailing Address
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Address Line | 3702 S TIMBERLINE RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-3624
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Country | US
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Telephone | 970-207-9773
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Fax | 970-207-1893
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 3470A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 33451
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License Number State | CO
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