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General NPI Number Information
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NPI Number | 1346407574
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Entity Type | Individual
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Provider Name | WENDY NICOLE HOLT APRN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 3028 JAVIER RD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-4622
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Country | US
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Telephone | 703-698-8960
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Fax | 703-828-0961
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Provider Business Mailing Address
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Address Line | 7610 N STEMMONS FWY STE 600
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City | DALLAS
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State | TX
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Zip | 75247-4228
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Country | US
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Telephone | 214-689-5960
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Fax | 469-713-8084
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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 | AP118565
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024192987
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License Number State | VA
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