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General NPI Number Information
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NPI Number | 1952342586
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Entity Type | Individual
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Provider Name | JOSEPH EUGENE HOLLEY JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 9721 COGDILL RD STE 302
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City | KNOXVILLE
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State | TN
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Zip | 37932-3425
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Country | US
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Telephone | 865-888-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 170 HICKORY LAKE DR
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City | EADS
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State | TN
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Zip | 38028-3068
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Country | US
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Telephone | 901-493-5374
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 11045
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 19758
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 019758
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 11045
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License Number State | MS
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