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General NPI Number Information
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NPI Number | 1891901575
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Entity Type | Organization
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Legal Business Name | HOLLADAY CHIROPRACTIC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 724 W US HIGHWAY 79
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City | BUFFALO
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State | TX
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Zip | 75831-3500
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Country | US
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Telephone | 903-322-2166
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | BUFFALO
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State | TX
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Zip | 75831-0749
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Country | US
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Telephone | 903-322-2166
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MONICA LYNN HOLLADAY
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Credential | DC
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Telephone | 903-322-2166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7858
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License Number State | TX
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