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General NPI Number Information
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NPI Number | 1477176477
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Entity Type | Individual
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Provider Name | DAVID ANTHONY BOLLINGER R.EEGT,
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Gender | Male
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 2252 TWELVE OAKS WAY STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6972
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Country | US
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Telephone | 813-591-6316
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Fax | 813-591-6350
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Provider Business Mailing Address
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Address Line | 2252 TWELVE OAKS WAY STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6972
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Country | US
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Telephone | 813-591-6316
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Fax | 813-591-6350
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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 | 246ZE0500X
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Taxonomy Name | EEG Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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