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General NPI Number Information
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NPI Number | 1912402496
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Entity Type | Individual
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Provider Name | WILLIAM B HOLLIDAY MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 206-419-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 PALOS VERDES DR N
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City | LOMITA
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State | CA
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Zip | 90717-3701
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A164022
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A164022
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License Number State | CA
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