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General NPI Number Information
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NPI Number | 1275596629
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Entity Type | Individual
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Provider Name | MICHAEL J HOLMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 139 RANDALL RD
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City | PRINCETON
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State | NJ
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Zip | 08540-3611
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Country | US
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Telephone | 732-672-0701
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Fax |
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Provider Business Mailing Address
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Address Line | 139 RANDALL RD
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City | PRINCETON
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State | NJ
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Zip | 08540-3611
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Country | US
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Telephone | 732-672-0701
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 25MA06000800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | MD056219L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA06000800
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License Number State | NJ
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