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General NPI Number Information
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NPI Number | 1598730228
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Entity Type | Individual
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Provider Name | MS. HOLLY LYN HOWELL
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7001 SILO RD
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City | ARLINGTON
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State | TX
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Zip | 76002-3421
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Country | US
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Telephone | 817-375-6829
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Fax |
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Provider Business Mailing Address
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Address Line | 300 HOLLY PARK DR APT. 2059
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City | ARLINGTON
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State | TX
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Zip | 76014-4507
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Country | US
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Telephone | 817-466-1284
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT2862
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License Number State | TX
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