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General NPI Number Information
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NPI Number | 1811953334
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Entity Type | Individual
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Provider Name | DAVID NICK HOELLEN M.S., ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11000 UNIVERSITY PKWY
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City | PENSACOLA
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State | FL
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Zip | 32514-5732
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Country | US
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Telephone | 850-857-6316
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 GLORIA CIRCLE #34
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City | PENSACOLA
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State | FL
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Zip | 32514-5339
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | AL1291
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License Number State | FL
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