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General NPI Number Information
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NPI Number | 1053273318
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Entity Type | Individual
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Provider Name | PEYTON ELIZABETH HOLMA PA
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 18341 US HIGHWAY 41
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City | LANSE
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State | MI
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Zip | 49946-8024
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Country | US
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Telephone | 906-524-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 13441 E STATE HIGHWAY M28
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City | SIDNAW
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State | MI
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Zip | 49961-5103
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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