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General NPI Number Information
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NPI Number | 1336353457
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Entity Type | Organization
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Legal Business Name | DR B. E. HOLMES PA
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 305 W FRONT ST
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City | LONOKE
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State | AR
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Zip | 72086-3119
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Country | US
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Telephone | 501-676-6560
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Fax | 501-676-7166
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Provider Business Mailing Address
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Address Line | 305 W FRONT ST
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City | LONOKE
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State | AR
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Zip | 72086-3119
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Country | US
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Telephone | 501-676-6560
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Fax | 501-676-7166
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | BYRON EUGENE HOLMES
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Credential | M.D. P.A.
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Telephone | 501-676-6560
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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 | C2033
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License Number State | AR
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