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General NPI Number Information
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NPI Number | 1851184386
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Entity Type | Organization
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Legal Business Name | JOHN T HOLLAND, DO
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 107 CHURCH ST NE UNIT S2
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City | BLACKSBURG
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State | VA
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Zip | 24060
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Country | US
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Telephone | 540-501-6533
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Fax | 224-253-5465
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Provider Business Mailing Address
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Address Line | 107 CHURCH ST NE UNIT S2
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City | BLACKSBURG
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State | VA
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Zip | 24060
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Country | US
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Telephone | 540-501-6533
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Fax | 224-253-5465
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN TODD HOLLAND
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Credential | DO
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Telephone | 540-449-4108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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