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General NPI Number Information
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NPI Number | 1326231374
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Entity Type | Organization
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Legal Business Name | EDWIN H. HOLLER, M.D., P.A.
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 500 E PARKER RD
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City | MORGANTON
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State | NC
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Zip | 28655-5113
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Country | US
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Telephone | 828-430-9566
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Fax | 828-430-9935
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Provider Business Mailing Address
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Address Line | 500 E PARKER RD
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City | MORGANTON
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State | NC
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Zip | 28655-5113
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Country | US
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Telephone | 828-430-9566
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Fax | 828-430-9935
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWIN HOBBS HOLLER
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Credential | M.D.
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Telephone | 828-430-9566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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