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General NPI Number Information
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NPI Number | 1083093181
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Entity Type | Individual
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Provider Name | HADRIAN HOLDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 428 COLUMBUS AVENUE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3000
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Fax | 203-503-3224
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Provider Business Mailing Address
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Address Line | 400 COLUMBUS AVENUE CREDENTIALING SPECIALIST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1233
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Country | US
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Telephone | 203-503-3000
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Fax | 203-503-3224
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT208836
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 64338
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License Number State | CT
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