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General NPI Number Information
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NPI Number | 1285436683
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Entity Type | Organization
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Legal Business Name | HOLY CITY HEALTHCARE CONSULTANTS, LLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2021 BOUGANVILLIA DR
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-3172
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Country | US
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Telephone | 347-342-7810
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | JOHNS ISLAND
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State | SC
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Zip | 29457-0097
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Country | US
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Telephone | 347-342-7810
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RALPH FONTANEZ
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Credential | BSN, RN
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Telephone | 347-342-7810
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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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