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General NPI Number Information
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NPI Number | 1215963210
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Entity Type | Individual
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Provider Name | ANGELA MICHELE HOLT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 139 GARAU ST
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City | BLUFFTON
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State | OH
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Zip | 45817-1027
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Country | US
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Telephone | 419-358-9010
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Fax | 419-358-1532
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Provider Business Mailing Address
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Address Line | 1900 S MAIN ST MANAGED CARE DEPT
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City | FINDLAY
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State | OH
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Zip | 45840-1214
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Country | US
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Telephone | 419-358-9010
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Fax | 419-358-1532
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301055972
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35069880
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License Number State | OH
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