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General NPI Number Information
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NPI Number | 1780165159
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Entity Type | Individual
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Provider Name | ALICIA ANN HOLLINGSWORTH CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3770 RIDGE PIKE BLDG B
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-3170
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Country | US
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Telephone | 610-489-8130
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 WOODLAND RD
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City | GREEN LANE
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State | PA
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Zip | 18054-9551
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Country | US
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Telephone | 610-389-0314
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 20188482
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP019366
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License Number State | PA
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