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NPI 1801243985

NPI 1801243985 : HOLLY LOCKLEAR REDLINGER LCSW : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1801243985
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    Entity Type          |    Individual 
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    Provider Name        |    HOLLY LOCKLEAR REDLINGER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2016
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    820 PRUDENTIAL DR STE 510 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32207-8207
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    Country              |    US
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    Telephone            |    904-376-3800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5390 N ACADEMY BLVD STE 200 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80918-4064
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    Country              |    US
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    Telephone            |    719-641-6723
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    Fax                  |    719-374-5907
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    SW15990
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    License Number State |    FL
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