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General NPI Number Information
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NPI Number | 1790061042
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Entity Type | Individual
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Provider Name | BRIAN HOLLAND OTR
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Gender | Male
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 2401 DOVE CREEK DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6643
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Country | US
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Telephone | 213-804-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 DOVE CREEK DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-6643
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Country | US
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Telephone | 213-804-4327
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9124
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 116578
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License Number State | TX
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