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General NPI Number Information
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NPI Number | 1831032721
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Entity Type | Individual
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Provider Name | HEIDI HOLLAR
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Gender | Female
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 2500 WISHER DR
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City | SPENCERVILLE
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State | OH
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Zip | 45887-1293
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Country | US
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Telephone | 419-647-4111
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Fax | 419-647-5124
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Provider Business Mailing Address
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Address Line | 1920 SLABTOWN RD
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City | LIMA
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State | OH
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Zip | 45801-3309
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Country | US
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Telephone | 419-222-1836
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01006
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License Number State | OH
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