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General NPI Number Information
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NPI Number | 1790854610
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Entity Type | Individual
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Provider Name | MARY K MCCARTHY HOLLOWAY MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | PO BOX 827
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City | GARIBALDI
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State | OR
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Zip | 97118-0827
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Country | US
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Telephone | 503-559-7333
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Fax | 971-265-1031
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Provider Business Mailing Address
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Address Line | PO BOX 827
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City | GARIBALDI
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State | OR
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Zip | 97118-0827
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Country | US
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Telephone | 503-559-7333
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Fax | 971-265-1031
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD13707
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License Number State | OR
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