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General NPI Number Information
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NPI Number | 1538683024
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Entity Type | Individual
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Provider Name | JAMES HOLLON FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 118 S MAIN ST
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City | GORDON
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State | TX
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Zip | 76453-1114
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Country | US
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Telephone | 254-693-5211
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Fax | 254-693-5774
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | GORDON
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State | TX
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Zip | 76453-0306
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Country | US
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Telephone | 254-693-5211
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Fax | 254-693-5774
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134589
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License Number State | TX
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