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General NPI Number Information
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NPI Number | 1801557913
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Entity Type | Individual
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Provider Name | HOLLY ADAMOUS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2022
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Last Update Date | 01/02/2022
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Provider Practice Location Address
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Address Line | 307 S ROBERTSON BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3602
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Country | US
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Telephone | 310-299-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 463 S REXFORD DR APT 204
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4749
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Country | US
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Telephone | 310-936-8382
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018818
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License Number State | CA
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