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General NPI Number Information
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NPI Number | 1063730232
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Entity Type | Organization
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Legal Business Name | DAVID A. HOLMES, M.A., P.C.
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 1125 W IRON SPRINGS RD
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City | PRESCOTT
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State | AZ
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Zip | 86305-1623
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Country | US
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Telephone | 928-778-5132
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Fax | 928-778-3005
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Provider Business Mailing Address
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Address Line | 1125 W IRON SPRINGS RD
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City | PRESCOTT
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State | AZ
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Zip | 86305-1623
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Country | US
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Telephone | 928-778-5132
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Fax | 928-778-3005
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Authorized Official
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Title or Position | CORPORATE OFFICER
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Name | DR. DAVID A. HOLMES
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Credential | AU.D.
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Telephone | 928-778-5132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | DA513
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License Number State | AZ
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