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General NPI Number Information
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NPI Number | 1427249499
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Entity Type | Individual
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Provider Name | MARSHALL T. HOLLINGER C.N.P.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 43 WHITING HILL RD
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City | BREWER
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State | ME
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Zip | 04412-1005
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Country | US
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Telephone | 207-861-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WASHINGTON ST
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City | WATERVILLE
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State | ME
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Zip | 04901-4315
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Country | US
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Telephone | 614-284-5294
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Fax | 614-794-3711
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 09481-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RX 09481
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License Number State | OH
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