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General NPI Number Information
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NPI Number | 1609187152
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Entity Type | Individual
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Provider Name | REBECCA E HOLLINGSWORTH MSN, GNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 20 RAWLS SPRINGS LOOP RD
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City | HATTIESBURG
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State | MS
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Zip | 39402-7801
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Country | US
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Telephone | 601-582-6069
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Fax | 601-579-4842
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Provider Business Mailing Address
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Address Line | 501 YELLOW PINE DR
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City | PETAL
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State | MS
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Zip | 39465-9558
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Country | US
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Telephone | 601-270-4476
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | R790914
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License Number State | MS
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