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General NPI Number Information
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NPI Number | 1124028014
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Entity Type | Individual
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Provider Name | FRANK LOVING HOLT JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 13 MEDICAL CAMPUS DR NW SUITE 102
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City | SUPPLY
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State | NC
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Zip | 28462-4093
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Country | US
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Telephone | 910-754-5988
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Fax | 910-754-5989
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Provider Business Mailing Address
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Address Line | 3 MEDICAL CENTER DR
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City | SUPPLY
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State | NC
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Zip | 28462-3350
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Country | US
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Telephone | 910-754-7790
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Fax | 910-754-7838
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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 | 99-01545
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License Number State | NC
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