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General NPI Number Information
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NPI Number | 1346424074
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Entity Type | Organization
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Legal Business Name | EDWARD C HOLMES CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 814 PINE OAK DR
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City | EDMOND
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State | OK
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Zip | 73034-4650
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Country | US
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Telephone | 405-315-2897
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Fax | 405-315-2897
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Provider Business Mailing Address
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Address Line | 814 PINE OAK DR
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City | EDMOND
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State | OK
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Zip | 73034-4650
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Country | US
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Telephone | 405-315-2897
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Fax | 405-315-2897
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. EDWARD C HOLMES
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Credential | DC
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Telephone | 405-315-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3908
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License Number State | OK
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