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General NPI Number Information
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NPI Number | 1629125760
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Entity Type | Organization
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Legal Business Name | MICHAEL J.HOLLANDER, M.D.,INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16030 VENTURA BLVD SUITE 430
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City | ENCINO
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State | CA
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Zip | 91436-2731
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Country | US
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Telephone | 818-986-8822
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Fax | 818-986-8222
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Provider Business Mailing Address
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Address Line | PO BOX 260517
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City | ENCINO
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State | CA
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Zip | 91426-0517
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Country | US
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Telephone | 818-986-8822
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Fax | 818-986-8222
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL J HOLLANDER
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Credential | DR
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Telephone | 818-986-8822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G60290
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License Number State | CA
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