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General NPI Number Information
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NPI Number | 1740157478
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Entity Type | Individual
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Provider Name | HOLLY THARBS
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Gender | Female
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2220 W MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2514
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Country | US
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Telephone | 310-644-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W 6TH ST APT 201
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City | LONG BEACH
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State | CA
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Zip | 90802-1349
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Country | US
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Telephone | 424-380-8094
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 95037365
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License Number State | CA
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