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General NPI Number Information
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NPI Number | 1508443714
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Entity Type | Individual
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Provider Name | COLLETTE MCWILLIAMS HOILMAN
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Gender | Female
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 115 JUDGE GRESHAM RD STE A
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City | GRAY
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State | TN
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Zip | 37615-6213
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Country | US
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Telephone | 423-467-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-302-6565
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 69733
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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