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General NPI Number Information
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NPI Number | 1205177946
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Entity Type | Organization
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Legal Business Name | HOLMES FAMILY DENTAL, PC
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 2133S TIMBERLINE RD SUITE 100
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City | FORT COLLINS
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State | CO
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Zip | 80525
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Country | US
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Telephone | 970-221-2499
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Fax | 970-221-5375
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Provider Business Mailing Address
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Address Line | 2133 S TIMBERLINE RD SUITE 100
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City | FORT COLLINS
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State | CO
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Zip | 80525
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Country | US
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Telephone | 970-221-2499
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Fax | 970-221-5375
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Authorized Official
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Title or Position | VP, HOLMES DENTAL, PC
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Name | DR. NICOLE Z HOLMES
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Credential | DDS
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Telephone | 970-217-3747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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