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General NPI Number Information
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NPI Number | 1366811366
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Entity Type | Individual
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Provider Name | HOLLY NICOLE MCCOY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/20/2015
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1 MERCADO ST STE 160
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City | DURANGO
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State | CO
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Zip | 81301-7309
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Country | US
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Telephone | 970-385-9850
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Fax | 970-385-9854
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Provider Business Mailing Address
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Address Line | PO BOX 802793
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City | KANSAS CITY
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State | MO
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Zip | 64180-2793
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Country | US
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Telephone | 800-953-0104
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Fax | 303-765-6670
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0007012
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.0007012
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.200883
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License Number State | LA
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