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General NPI Number Information
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NPI Number | 1285159970
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Entity Type | Individual
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Provider Name | ASHLEIGH MARIA HOLMES RN, MSN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 03/09/2019
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Provider Practice Location Address
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Address Line | 200 HARBORSIDE DR STE 101
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City | SCHENECTADY
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State | NY
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Zip | 12305-1020
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Country | US
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Telephone | 518-881-4700
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Fax | 518-881-4719
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Provider Business Mailing Address
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Address Line | 200 HARBORSIDE DR STE 101
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City | SCHENECTADY
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State | NY
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Zip | 12305-1020
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Country | US
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Telephone | 518-881-4700
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Fax | 518-881-4719
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 734003
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 308489
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License Number State | NY
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