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General NPI Number Information
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NPI Number | 1316551377
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Entity Type | Organization
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Legal Business Name | HOLLAND CONSULTING PRACTICE LLC
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 09/07/2020
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Provider Practice Location Address
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Address Line | 6307 TOWNE LAKE HTS
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City | WOODSTOCK
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State | GA
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Zip | 30189-4245
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Country | US
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Telephone | 404-542-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 2295 TOWNE LAKE PKWY STE 116-290
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City | WOODSTOCK
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State | GA
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Zip | 30189-5520
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Country | US
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Telephone | 404-542-7377
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER/CBCS/PHIC/RTO/H.C.
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Name | DR. MALERIA QUENTETTE HOLLAND
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Credential | CBCS, PHIC, H.C., RT
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Telephone | 404-542-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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