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General NPI Number Information
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NPI Number | 1093072654
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Entity Type | Individual
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Provider Name | BENJAMIN BRINDLEY HOLMES MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 57 GERMANTOWN CT
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City | CORDOVA
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State | TN
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Zip | 38018-7273
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Country | US
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Telephone | 901-435-8550
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Fax | 901-478-0781
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Provider Business Mailing Address
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Address Line | 1211 UNION AVE STE 330
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City | MEMPHIS
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State | TN
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Zip | 38104-6655
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Country | US
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Telephone |
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Fax |
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 83980
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 34330
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 51557
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License Number State | TN
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