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General NPI Number Information
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NPI Number | 1851521603
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Entity Type | Organization
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Legal Business Name | PAUL R HOLLAND MD INC
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 2171 JUNIPERO SERRA BLVD STE 100
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City | DALY CITY
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State | CA
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Zip | 94014-1906
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Country | US
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Telephone | 650-758-2171
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Fax | 650-994-0161
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Provider Business Mailing Address
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Address Line | 2171 JUNIPERO SERRA BLVD STE 100
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City | DALY CITY
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State | CA
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Zip | 94014-1906
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Country | US
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Telephone | 650-758-2171
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Fax | 650-994-0161
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL REGINALD HOLLAND
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Credential | MD
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Telephone | 434-566-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A108512
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License Number State | CA
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