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General NPI Number Information
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NPI Number | 1396719191
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Entity Type | Individual
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Provider Name | DENNIS L HOLLEY R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5507 NORTH W STREET
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City | PENSACOLA
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State | FL
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Zip | 32505-2435
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Country | US
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Telephone | 850-432-2092
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Fax | 850-436-4033
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Provider Business Mailing Address
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Address Line | 5033 HIGH POINTE DRIVE
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City | PENSACOLA
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State | FL
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Zip | 32505
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Country | US
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Telephone | 850-476-0525
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH12466
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License Number State | FL
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