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General NPI Number Information
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NPI Number | 1073593208
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Entity Type | Individual
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Provider Name | ANDREW S HOLMES MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 1635 N GEORGE MASON DR STE 180
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City | ARLINGTON
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State | VA
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Zip | 22205-3633
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Country | US
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Telephone | 301-530-1010
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Fax | 301-897-8597
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Provider Business Mailing Address
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Address Line | 1635 N GEORGE MASON DR STE 180
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City | ARLINGTON
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State | VA
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Zip | 22205-3633
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Country | US
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Telephone | 301-530-1010
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Fax | 301-897-8597
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 0101232842
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MD034415
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License Number State | DC
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