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Mr. Donald Gene Hollenbeck JR.
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1548892755

Donald Gene Hollenbeck JR. is a Student in an Organized Health Care Education/Training Program based in Herndon, VA. Donald Gene Hollenbeck JR. practices in Fairfax, VA. The NPI Number for Donald Gene Hollenbeck JR. is 1548892755 and holds a License No. (Virginia).

The current practice location address for Donald Gene Hollenbeck JR. is 10513 Braddock Rd, Fairfax, VA and can be reached out via phone at 703-995-9945.

Location: 10513 Braddock Rd, Fairfax, VA, 20170-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548892755
Provider Name
Donald Gene Hollenbeck JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
10513 Braddock Rd, Fairfax, VA, 20170-5702
Phone Number
703-995-9945
Fax Number
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251C00000X 01 COGNITIVE TRAINING
251C00000X 01 VA DAY TRAINING, DEVELOPMENTALLY DISABLED SERVICES
institution
Provider Business Practice Location Address Details
Address
10513 Braddock Rd
City
Fairfax
State
Virginia
Zip
22032-2276
Phone Number
703-995-9945
Fax Number
person
Provider Business Mailing Address Details
Address
10513 Braddock Rd
City
Fairfax
State
Virginia
Zip
22032-2276
Phone Number
703-995-9945
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
()
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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