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General NPI Number Information
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NPI Number | 1417698671
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Entity Type | Individual
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Provider Name | FLOYD L B HOLLAND JR CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/03/2022
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4440 W 95TH ST
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City | OAK LAWN
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State | IL
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Zip | 60453-2600
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Country | US
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Telephone | 708-684-8000
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Fax | 708-684-1028
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Provider Business Mailing Address
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Address Line | 9415 ALBANY CT
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City | ORLAND PARK
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State | IL
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Zip | 60467-5635
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Country | US
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Telephone | 708-364-7208
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Fax | 708-949-8873
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28211665A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209.030083
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License Number State | IL
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