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General NPI Number Information
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NPI Number | 1821223496
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Entity Type | Organization
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Legal Business Name | TOBIN HOLLOWAY, O.D., P.C.
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 1501 N I-27
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City | PLAINVIEW
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State | TX
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Zip | 79072-3916
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Country | US
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Telephone | 806-288-0400
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Fax | 806-288-0401
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Provider Business Mailing Address
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Address Line | 1303 GARLAND ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-4623
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Country | US
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Telephone | 806-288-0400
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Fax | 806-288-0401
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TOBIN NEIL HOLLOWAY
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Credential | O.D.
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Telephone | 806-288-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4485T
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License Number State | TX
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