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General NPI Number Information
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NPI Number | 1295125524
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Entity Type | Individual
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Provider Name | MERISSA ANN HOLLINGSWORTH D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 6200 SARATOGA BLVD UNIT 2
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-3478
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Country | US
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Telephone | 361-717-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 15118 AQUARIUS ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418-6903
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Country | US
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Telephone | 254-592-4298
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11967
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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