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1508472184 NPI number — ROLAND GEORGE HOLLINS JR.

NPI Number: 1508472184
Health Care Provider/Practitioner: ROLAND GEORGE HOLLINS JR.

Information about “1508472184” NPI (ROLAND GEORGE HOLLINS JR.) exists in 1508472184 in HTML format HTML  |  1508472184 in plain Text format TXT  |  1508472184 in PDF (Portable Document Format) PDF  |  1508472184 in an XML format XML  formats.

NPI Number : 1508472184 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508472184",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLLINS",
    "FirstName": "ROLAND",
    "MiddleName": "GEORGE",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "607 BRANDYWINE ST SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20032-3658",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-491-4513",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1300 MERCANTILE LN STE 129-40",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LARGO",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20774-5327",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "667-217-6271",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2020",
    "LastUpdateDate": "09/19/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "LC3569",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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