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General NPI Number Information
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NPI Number | 1427054089
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Entity Type | Individual
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Provider Name | MICHAEL LAWRENCE HOLLOWAY CRNA, NP
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 2719 NEUSE BLVD STE A
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City | NEW BERN
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State | NC
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Zip | 28562-2857
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Country | US
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Telephone | 843-601-2530
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 SPRINGWOOD DR
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City | TRENT WOODS
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State | NC
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Zip | 28562-6738
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Country | US
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Telephone | 843-601-2530
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 989
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License Number State | NC
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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 | RN178935
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5015807
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License Number State | NC
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