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General NPI Number Information
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NPI Number | 1760948780
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Entity Type | Individual
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Provider Name | HOLLY CELLAMARE PA-C, RT (R)
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Gender | Female
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 745 MEADOWS RD STE 200
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City | BOCA RATON
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State | FL
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Zip | 33486-2324
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Country | US
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Telephone | 561-955-6784
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Fax | 833-625-1611
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Provider Business Mailing Address
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Address Line | 1001 NW 13TH ST STE 201
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City | BOCA RATON
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State | FL
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Zip | 33486-2269
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Country | US
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Telephone | 561-955-6663
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 548239
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 023890
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9118161
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License Number State | FL
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