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General NPI Number Information
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NPI Number | 1225495666
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Entity Type | Organization
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Legal Business Name | HOLL ENTERPRISES, LLC
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 7320 HARRISON ST
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City | RALSTON
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State | NE
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Zip | 68128-1734
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Country | US
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Telephone | 402-980-5148
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 HARRISON ST
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City | RALSTON
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State | NE
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Zip | 68128-1734
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Country | US
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Telephone | 402-980-5148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARY HOLL
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Credential | DC
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Telephone | 402-980-5148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1220
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License Number State | NE
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