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General NPI Number Information
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NPI Number | 1356367395
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Entity Type | Organization
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Legal Business Name | H F HOLCOMB MD MED CORP
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 4501 MISSION BAY DR STE 3F
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City | SAN DIEGO
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State | CA
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Zip | 92109-4926
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Country | US
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Telephone | 858-272-1202
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Fax | 858-272-1205
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Provider Business Mailing Address
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Address Line | 4501 MISSION BAY DR STE 3F
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City | SAN DIEGO
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State | CA
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Zip | 92109-4926
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Country | US
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Telephone | 858-272-1202
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Fax | 858-272-1205
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRY F HOLCOMB
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Credential | M.D.
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Telephone | 858-272-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C36698
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License Number State | CA
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