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General NPI Number Information
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NPI Number | 1841480126
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Entity Type | Organization
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Legal Business Name | JOSEPH D. HOLLINGSWORTH, M.D., P.C.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 945 W HOSPITAL DR #4
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City | PRICE
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State | UT
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Zip | 84501
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Country | US
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Telephone | 435-637-0675
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Fax | 435-637-0677
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Provider Business Mailing Address
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Address Line | 945 W HOSPITAL DR #4
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City | PRICE
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State | UT
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Zip | 84501
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Country | US
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Telephone | 435-637-0675
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Fax | 435-637-0677
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH D HOLLINGSWORTH
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Credential | M.D.
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Telephone | 435-637-0675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5222881-1205
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License Number State | UT
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