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General NPI Number Information
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NPI Number | 1922312966
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Entity Type | Organization
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Legal Business Name | TERRY F HOLLAND PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 14 BRYSON DR
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City | SUTTER CREEK
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State | CA
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Zip | 95685-4118
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Country | US
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Telephone | 209-223-2307
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Fax | 209-267-5565
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Provider Business Mailing Address
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Address Line | 14 BRYSON DR
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City | SUTTER CREEK
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State | CA
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Zip | 95685-4118
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Country | US
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Telephone | 209-223-2307
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Fax | 209-267-5565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERRY F HOLLAND
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Credential | DC
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Telephone | 209-223-2307
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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 | DC 12707
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License Number State | CA
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