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General NPI Number Information
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NPI Number | 1063173854
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Entity Type | Individual
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Provider Name | AARON JOSEPH HOLZHAUER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 937 FRANKLIN BLVD
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City | LEMOORE
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State | CA
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Zip | 93246-0050
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Country | US
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Telephone | 559-998-4481
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Fax | 559-998-4321
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Provider Business Mailing Address
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Address Line | 310 PAYNE RD
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City | PENSACOLA
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State | FL
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Zip | 32507-3143
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Country | US
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Telephone | 703-409-8560
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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 | 0110008695
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License Number State | VA
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