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General NPI Number Information
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NPI Number | 1598079600
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Entity Type | Organization
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Legal Business Name | JANET HOLLEY, CRNP PC
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 42030 HIGHWAY 195 SUITE D
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City | HALEYVILLE
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State | AL
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Zip | 35565-7054
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Country | US
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Telephone | 205-486-2743
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Fax | 205-486-4343
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Provider Business Mailing Address
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Address Line | 42030 HIGHWAY 195 STE D P O BOX 970
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City | HALEYVILLE
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State | AL
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Zip | 35565-7054
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Country | US
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Telephone | 205-486-2743
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Fax | 205-486-4343
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Authorized Official
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Title or Position | MANAGER
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Name | JANET L HOLLEY
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Credential | CRNP
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Telephone | 205-486-2743
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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 | 1-069794
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License Number State | AL
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