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General NPI Number Information
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NPI Number | 1235163106
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Entity Type | Individual
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Provider Name | NEAL T HOLM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 7800 US HIGHWAY 98 W
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7228
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Country | US
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Telephone | 850-416-7262
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Fax | 850-278-3334
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Provider Business Mailing Address
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Address Line | 4205 BELFORT RD STE 4015
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3623
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Country | US
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Telephone | 904-450-6063
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Fax | 904-539-4091
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME172806
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License Number State | FL
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