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General NPI Number Information
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NPI Number | 1588413702
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Entity Type | Individual
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Provider Name | COURTNEY DAWN HOLLAND RN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 905 N OAKLAND ST
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City | SAINT JOHNS
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State | MI
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Zip | 48879-1063
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Country | US
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Telephone | 810-487-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 9674 E REMUS RD
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-8103
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Country | US
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Telephone | 586-823-2542
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 4704370371
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 4704370371
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License Number State | MI
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