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General NPI Number Information
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NPI Number | 1992981021
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Entity Type | Organization
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Legal Business Name | HOLLAND CHIROPRACTIC & REHAB, INC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 2086 ADDISON AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-5306
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Country | US
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Telephone | 208-737-9397
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Fax | 208-737-9398
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Provider Business Mailing Address
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Address Line | 2086 ADDISON AVE E
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City | TWIN FALLS
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State | ID
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Zip | 83301-5306
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Country | US
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Telephone | 208-737-9397
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Fax | 208-737-9398
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN HOLLAND
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Credential | D.C.
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Telephone | 208-737-9397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | C814
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License Number State | ID
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