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General NPI Number Information
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NPI Number | 1023789583
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Entity Type | Individual
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Provider Name | GABRIEL MARIE HOLTMAN NP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 4400 W 95TH ST STE 106
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City | OAK LAWN
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State | IL
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Zip | 60453-2656
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Country | US
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Telephone | 708-684-5580
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Fax | 708-684-4068
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone |
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 259319-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 11024
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11024
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4704317104
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5016271
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 5016271
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209021881
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209021881
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704317104
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License Number State | MI
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016271
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License Number State | NC
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