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General NPI Number Information
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NPI Number | 1083032544
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Entity Type | Individual
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Provider Name | ARIELA HOLMER MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 305 E 33RD ST
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City | NEW YORK
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State | NY
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Zip | 10016-9401
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Country | US
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Telephone | 855-698-4232
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 232410
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City | SAN DIEGO
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State | CA
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Zip | 92193-2410
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Country | US
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Telephone | 899-926-8273
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Fax | 888-539-8781
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A149594
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 310562
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License Number State | NY
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