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General NPI Number Information
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NPI Number | 1356349294
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Entity Type | Individual
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Provider Name | KENNETH HOLLINGSWORTH MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 106 BOW ST
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City | ELKTON
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State | MD
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Zip | 21921-5544
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Country | US
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Telephone | 410-398-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10925
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City | WILMINGTON
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State | DE
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Zip | 19850-0925
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Country | US
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Telephone | 888-733-7271
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C1-0006000
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0027256
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License Number State | MD
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