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General NPI Number Information
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NPI Number | 1346676459
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Entity Type | Individual
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Provider Name | BELINDA GAIL HOLT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 814 W GARY BLVD
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City | CLINTON
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State | OK
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Zip | 73601-2720
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Country | US
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Telephone | 580-660-0899
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Fax | 580-323-3988
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | CORDELL
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State | OK
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Zip | 73632-0001
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Country | US
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Telephone | 580-660-0899
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Fax | 580-323-3988
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 80213
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License Number State | OK
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