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General NPI Number Information
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NPI Number | 1699751735
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Entity Type | Individual
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Provider Name | ALISON S HOLLOWAY MD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 6300 NORTH RIVER ROAD, SUITE 100A
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City | ROSEMONT
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State | IL
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Zip | 60018
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Country | US
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Telephone | 312-421-1016
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Fax | 847-787-7144
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Provider Business Mailing Address
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Address Line | 1307 COUNTRYSIDE MANOR PL
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City | CHESTERFIELD
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State | MO
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Zip | 63005
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Country | US
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Telephone | 702-428-0094
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Fax | 636-590-1415
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38428-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-098167
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License Number State | IL
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