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General NPI Number Information
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NPI Number | 1336145226
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Entity Type | Individual
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Provider Name | SCOTT A HOLLINGSWORTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 3361 HIGHWAY 9 E
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City | LITTLE RIVER
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State | SC
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Zip | 29566-7826
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Country | US
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Telephone | 843-497-5929
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Fax | 843-399-0123
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Provider Business Mailing Address
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Address Line | PO BOX 3439
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-0439
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Country | US
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Telephone | 843-839-4447
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Fax | 843-399-0123
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18608
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 18608
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License Number State | SC
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