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General NPI Number Information
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NPI Number | 1104099878
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Entity Type | Individual
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Provider Name | FERRIN H. HOLCOMB D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 3232 BROADWAY BLVD STE I
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City | GARLAND
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State | TX
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Zip | 75043-1563
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Country | US
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Telephone | 972-271-4454
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Fax | 972-840-3343
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Provider Business Mailing Address
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Address Line | 3232 BROADWAY BLVD STE I
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City | GARLAND
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State | TX
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Zip | 75043-1563
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Country | US
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Telephone | 972-271-4454
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Fax | 972-840-3343
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7709
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License Number State | TX
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