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General NPI Number Information
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NPI Number | 1932170339
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Entity Type | Individual
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Provider Name | SHARON HOLLIS PT CHT OCS
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 2311 W CONE BLVD STE 118C
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City | GREENSBORO
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State | NC
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Zip | 27408-4000
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Country | US
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Telephone | 336-860-8966
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 N ELM ST APT 10J
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City | GREENSBORO
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State | NC
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Zip | 27408-3857
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Country | US
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Telephone | 336-860-8966
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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 | 10596
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 10596
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | P18953
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | P18953
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | P18953
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P18953
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License Number State | NC
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