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General NPI Number Information
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NPI Number | 1700865151
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Entity Type | Individual
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Provider Name | HOLLY JEAN KIRKLAND-KYHN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 2315 STOCKTON BLVD DAVIS 6
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City | SACRAMENTO
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State | CA
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Zip | 95817-2201
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Country | US
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Telephone | 916-703-7143
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Fax | 916-703-7144
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Provider Business Mailing Address
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Address Line | 3644 VOLEYN ST
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City | CARMICHAEL
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State | CA
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Zip | 95608-2863
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Country | US
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Telephone | 916-508-1963
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Fax | 916-973-5820
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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 | 7715
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License Number State | CA
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