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General NPI Number Information
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NPI Number | 1932940574
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Entity Type | Organization
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Legal Business Name | MOSS HOLLAND ENTERPRISES LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 18377 WESTINGHOUSE RD
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City | ABINGDON
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State | VA
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Zip | 24210-7933
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Country | US
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Telephone | 276-676-3468
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Fax | 276-451-0175
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Provider Business Mailing Address
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Address Line | 4210 FOREST DALE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72223-4610
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Country | US
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Telephone | 803-447-1959
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK HOLLAND
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Credential |
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Telephone | 803-447-1959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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