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General NPI Number Information
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NPI Number | 1629569033
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Entity Type | Individual
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Provider Name | JANI OLISA HOLLAND ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 17560 NW 27TH AVE SUITE 106
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City | MIAMI GARDENS
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State | FL
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Zip | 33056
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Country | US
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Telephone | 305-690-7851
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Fax | 305-390-3900
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Provider Business Mailing Address
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Address Line | 17560 NW 27TH AVE STE 106
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4073
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Country | US
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Telephone | 305-690-7851
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Fax | 305-390-3900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9199833
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License Number State | FL
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