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General NPI Number Information
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NPI Number | 1285396150
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Entity Type | Individual
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Provider Name | MADELINE HOLT RD
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Gender | Female
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 800 WASHINGTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4717
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Country | US
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Telephone | 888-296-4742
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 S 31ST ST FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19146-3506
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Country | US
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Telephone | 215-925-2400
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86102960
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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