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NPI 1902895725

NPI 1902895725 : GARY MAX HOLLAND M.D. : ABILENE, TX

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General NPI Number Information
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    NPI Number           |    1902895725
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    Entity Type          |    Individual 
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    Provider Name        |    GARY MAX HOLLAND M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/14/2005
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    850 N 6TH ST 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79601-5242
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    Country              |    US
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    Telephone            |    325-692-5600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5409 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79608-5409
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    Country              |    US
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    Telephone            |    325-794-5425
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    Fax                  |    325-794-5426
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    F9572
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    F9572
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    License Number State |    TX
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