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General NPI Number Information
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NPI Number | 1073826889
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Entity Type | Individual
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Provider Name | HOWELL SCOTT HOLMES JR. PT
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Gender | Male
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2047 KEFAUVER DR STE B
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City | MILAN
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State | TN
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Zip | 38358
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Country | US
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Telephone | 731-238-1181
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Fax | 731-300-2350
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Provider Business Mailing Address
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Address Line | 2047 KEFAUVER DR STE B
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City | MILAN
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State | TN
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Zip | 38358-3458
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Country | US
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Telephone | 731-238-1181
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Fax | 731-300-2350
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT28671
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8710
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License Number State | TN
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