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General NPI Number Information
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NPI Number | 1679103162
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Entity Type | Individual
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Provider Name | SUZANNE WILLIAMS HOLLAND FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 1658 GOOSE RD
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City | ROBERSONVILLE
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State | NC
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Zip | 27871-8930
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Country | US
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Telephone | 252-217-3658
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Fax |
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Provider Business Mailing Address
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Address Line | 2555 RALPH TAYLOR RD
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City | WILLIAMSTON
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State | NC
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Zip | 27892-8228
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Country | US
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Telephone | 252-217-3658
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5012755
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License Number State | NC
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