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General NPI Number Information
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NPI Number | 1720476534
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Entity Type | Individual
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Provider Name | HOLLY DAY
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Gender | Female
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 2552 NE TURNER AVE LOT 25
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City | ARCADIA
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State | FL
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Zip | 34266-5905
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Country | US
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Telephone | 850-890-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 NE TURNER AVE LOT 25
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City | ARCADIA
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State | FL
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Zip | 34266-5905
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Country | US
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Telephone | 850-890-3531
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA59456
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License Number State | FL
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