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General NPI Number Information
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NPI Number | 1124646674
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Entity Type | Organization
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Legal Business Name | HOLISTIC PRIMARY CARE & BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 203 VICTOR AVE
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City | CHERRY HILL
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State | NJ
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Zip | 08002-4424
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Country | US
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Telephone | 973-932-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 926 HADDONFIELD RD # 358
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2775
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Country | US
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Telephone | 856-565-8052
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Fax | 856-861-1155
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Authorized Official
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Title or Position | APN
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Name | MRS. SYLVIE FELIX
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Credential | FNP
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Telephone | 856-565-8052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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