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General NPI Number Information
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NPI Number | 1225083587
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Entity Type | Individual
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Provider Name | ROBERT L HOLMAN MD, FACC
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 101 N PUTNAM AVE
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City | PUEBLO
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State | CO
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Zip | 81005-1344
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Country | US
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Telephone | 208-610-6392
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Fax |
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Provider Business Mailing Address
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Address Line | 101 N PUTNAM AVE
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City | PUEBLO
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State | CO
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Zip | 81005-1344
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Country | US
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Telephone | 208-610-6392
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M-6477
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DR.0050537
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License Number State | CO
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