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NPI 1578325742

NPI 1578325742 : TAYLOR HOLLOWAY RN, NP : NEWNAN, GA

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General NPI Number Information
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    NPI Number           |    1578325742
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR HOLLOWAY RN, NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2024
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    1825 HIGHWAY 34 E 
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    City                 |    NEWNAN
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    State                |    GA
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    Zip                  |    30265-6423
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    Country              |    US
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    Telephone            |    770-301-3195
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 41 
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    City                 |    MORELAND
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    State                |    GA
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    Zip                  |    30259-0041
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    Country              |    US
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    Telephone            |    
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN299556
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN-NP299556
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    License Number State |    GA
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