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General NPI Number Information
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NPI Number | 1750404968
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Entity Type | Individual
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Provider Name | WALTER ANTON HOLLINGER MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 355 E OHIO ST #5101
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City | CHICAGO
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State | IL
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Zip | 60611-3470
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Country | US
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Telephone | 312-952-4885
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Fax |
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Provider Business Mailing Address
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Address Line | 31 MAGNOLIA XING
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City | SAVANNAH
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State | GA
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Zip | 31411-1417
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Country | US
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Telephone | 312-653-5505
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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 | ME65848
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License Number State | FL
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