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General NPI Number Information
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NPI Number | 1336053065
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Entity Type | Organization
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Legal Business Name | HOLMES REGIONAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 611 SHERIDAN RD FL 3
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City | MELBOURNE
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State | FL
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Zip | 32901-3226
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Country | US
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Telephone | 321-434-8889
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749206
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City | ATLANTA
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State | GA
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Zip | 30374-9206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EVP CFO
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Name | KRISTEN PULIO
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Credential |
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Telephone | 321-434-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | NULL
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