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General NPI Number Information
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NPI Number | 1881588341
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Entity Type | Individual
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Provider Name | HOLLY MARIE CONN NP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4020 SIERRA COLLEGE BLVD STE 138
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City | ROCKLIN
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State | CA
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Zip | 95677-3906
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Country | US
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Telephone | 916-623-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 10211 WEBER ST
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4633
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Country | US
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Telephone | 209-200-7808
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95035193
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License Number State | CA
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