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General NPI Number Information
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NPI Number | 1346056983
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Entity Type | Individual
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Provider Name | LAYNE SCOTT HOLZER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 105 S STATE ST STE 113
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City | ABERDEEN
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State | SD
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Zip | 57401-4502
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Country | US
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Telephone | 605-225-0378
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Fax |
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Provider Business Mailing Address
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Address Line | 6812 S HUGHES AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57108-5834
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Country | US
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Telephone | 605-216-6428
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CP003551
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License Number State | SD
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