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General NPI Number Information
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NPI Number | 1316633571
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Entity Type | Organization
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Legal Business Name | HOLLMANN INVESTMENT HOLDINGS LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 8640 HAINES DR STE A
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City | FLORENCE
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State | KY
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Zip | 41042-6935
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Country | US
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Telephone | 512-468-3632
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Fax |
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Provider Business Mailing Address
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Address Line | 11261 LONGDEN WAY
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City | UNION
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State | KY
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Zip | 41091-8006
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Country | US
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Telephone | 512-468-3632
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW BRANDON HOLLMANN
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Credential |
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Telephone | 512-468-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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