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General NPI Number Information
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NPI Number | 1336704691
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Entity Type | Individual
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Provider Name | HOLLIANN CHARM DPT
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 2667 ENTERPRISE RD
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City | RENO
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State | NV
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Zip | 89512-1666
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Country | US
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Telephone | 775-688-7341
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Fax |
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Provider Business Mailing Address
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Address Line | 3146 BRISTLE BRANCH DR
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City | SPARKS
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State | NV
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Zip | 89434-1509
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60939830
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4312
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License Number State | NV
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