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General NPI Number Information
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NPI Number | 1972522597
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Entity Type | Individual
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Provider Name | MR. DANIEL C. HOLLAND
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8181 HARCOURT RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2578
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Country | US
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Telephone | 800-257-8715
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Fax | 800-819-1655
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Provider Business Mailing Address
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Address Line | 9130 TOWER BRIDGE RD APT B
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-5451
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Country | US
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Telephone | 317-848-1355
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Fax | 317-840-8875
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34001009A
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License Number State | IN
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