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General NPI Number Information
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NPI Number | 1235703323
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Entity Type | Individual
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Provider Name | TAMEKA ELAINE HOLLINS
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Gender | Female
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 725 KINGSLAND AVE STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63130-3187
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Country | US
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Telephone | 314-720-3355
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Fax | 314-254-8355
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Provider Business Mailing Address
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Address Line | 725 KINGSLAND AVE STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63130-3187
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Country | US
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Telephone | 314-720-3355
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Fax | 314-254-8355
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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