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General NPI Number Information
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NPI Number | 1508988049
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Entity Type | Individual
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Provider Name | NANCY D HOLLAND LPE
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5805 LEE HWY SUITE 205
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3546
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Country | US
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Telephone | 423-894-6588
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Fax | 423-894-2957
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Provider Business Mailing Address
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Address Line | 4211 GREEN SHANTY RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-8443
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Country | US
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Telephone | 423-894-6598
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CPC1377
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PE01456
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License Number State | TN
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