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General NPI Number Information
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NPI Number | 1578160925
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Entity Type | Individual
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Provider Name | KARMESHA HOLLIDAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1430 COLLIER ST
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City | AUSTIN
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State | TX
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Zip | 78704-2911
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Country | US
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Telephone | 512-445-7787
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Fax | 512-440-4059
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Provider Business Mailing Address
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Address Line | 3820 DAVE WARD DR STE 1900, #212
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City | CONWAY
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State | AR
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Zip | 72034-7995
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Country | US
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Telephone | 870-267-8043
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10270M
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10270-C
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110895
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License Number State | TX
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