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General NPI Number Information
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NPI Number | 1093878381
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Entity Type | Organization
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Legal Business Name | VLADIMIR HOLY, MD, PC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2315 PARKVIEW DR
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City | EL RENO
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State | OK
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Zip | 73036-2149
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Country | US
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Telephone | 405-422-6337
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Fax | 405-422-6341
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Provider Business Mailing Address
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Address Line | 2315 PARKVIEW DR
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City | EL RENO
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State | OK
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Zip | 73036-2149
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Country | US
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Telephone | 405-422-6337
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Fax | 405-422-6341
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Authorized Official
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Title or Position | OWNER
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Name | DR. VLADIMIR HOLY
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Credential | M.D.
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Telephone | 405-422-6337
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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 | 20362
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20362
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20362
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License Number State | OK
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