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General NPI Number Information
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NPI Number | 1942274527
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Entity Type | Individual
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Provider Name | ROGER P HOLLAND M. D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 3405 MIKE PADGETT HWY
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City | AUGUSTA
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State | GA
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Zip | 30906-3815
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Country | US
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Telephone | 918-567-7000
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Fax | 706-771-4858
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Provider Business Mailing Address
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Address Line | 217 RIDGETOP DR
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City | MARTINEZ
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State | GA
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Zip | 30907-1691
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Country | US
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Telephone | 830-290-4200
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Fax | 706-771-4858
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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 | H5900
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License Number State | TX
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