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General NPI Number Information
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NPI Number | 1982925848
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Entity Type | Individual
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Provider Name | HOLLY TOMLIN MSN, RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 7777 FOREST LN SUITE C-855
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-331-9700
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Fax | 972-331-9833
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN SUITE C-855
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-331-9700
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Fax | 972-331-9833
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 696556
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License Number State | TX
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