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General NPI Number Information
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NPI Number | 1235681982
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Entity Type | Organization
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Legal Business Name | WINDSONG E HOLLIS MD PLLC
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 325 A ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-5910
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Country | US
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Telephone | 202-836-4412
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Fax | 202-836-4413
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Provider Business Mailing Address
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Address Line | 325 A ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-5910
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Country | US
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Telephone | 202-836-4412
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Fax | 202-836-4413
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | WINDSONG HOLLIS
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Credential | M.D.
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Telephone | 202-836-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 24348
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License Number State | SC
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