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General NPI Number Information
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NPI Number | 1184891517
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Entity Type | Individual
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Provider Name | JUDITH ANN SEARGEANT-HOLMES P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 2100 POWELL ST SUITE 920
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City | EMERYVILLE
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State | CA
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Zip | 94608-1826
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Country | US
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Telephone | 510-350-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 3664 FIR RIDGE DR
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City | SANTA ROSA
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State | CA
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Zip | 95403-0927
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Country | US
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Telephone | 707-889-8936
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15469
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License Number State | CA
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