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General NPI Number Information
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NPI Number | 1043205669
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Entity Type | Individual
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Provider Name | JOEL HOLCOMBE MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 1309 THOMASVILLE ROAD PHYSICIAN BILLING OFFICE
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City | TALLAHASSEE
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State | FL
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Zip | 32303
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Country | US
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Telephone | 850-431-7289
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Fax | 850-431-6975
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Provider Business Mailing Address
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Address Line | 1300 MICCOSUKEE ROAD BIXLER EMERGENCY CENTER
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-431-0911
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Fax | 850-431-0779
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 049405
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME119322
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License Number State | FL
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