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General NPI Number Information
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NPI Number | 1275457582
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Entity Type | Individual
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Provider Name | DEBORAH ANN HOLLAN LVN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 39139 CHERRY VALLEY BLVD
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City | CHERRY VALLEY
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State | CA
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Zip | 92223-4484
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Country | US
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Telephone | 951-845-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 57963 JOSHUA LN
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-6248
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Country | US
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Telephone | 760-899-5289
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 246164
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License Number State | CA
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