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General NPI Number Information
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NPI Number | 1679954069
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Entity Type | Individual
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Provider Name | RITA LYNN HOLLINGSWORTH APRN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 305 E TICKLE ST STE A
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City | DYERSBURG
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State | TN
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Zip | 38024-3173
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Country | US
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Telephone | 731-589-9292
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Fax | 731-931-8031
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Provider Business Mailing Address
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Address Line | 1021 SIR JAMES AVE
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City | DYERSBURG
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State | TN
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Zip | 38024-7344
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Country | US
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Telephone | 423-903-2447
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Fax | 731-931-8031
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 24414
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R105081
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License Number State | AR
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