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General NPI Number Information
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NPI Number | 1265609440
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Entity Type | Organization
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Legal Business Name | BETH A HOLMES D O FAAFP
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 2101 NICHOLASVILLE RD STE 103
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City | LEXINGTON
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State | KY
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Zip | 40503-2530
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Country | US
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Telephone | 859-278-7813
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Fax | 859-277-2499
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Provider Business Mailing Address
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Address Line | 2101 NICHOLASVILLE RD STE 103
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City | LEXINGTON
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State | KY
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Zip | 40503-2517
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Country | US
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Telephone | 859-278-0264
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Fax | 859-309-5312
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Authorized Official
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Title or Position | MD/AUTHORIZED OFFICIAL/OWNER
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Name | DR. BETH A HOLMES
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Credential | D O FAAFP
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Telephone | 859-278-0264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25717
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License Number State | LA
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