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General NPI Number Information
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NPI Number | 1356633978
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Entity Type | Organization
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Legal Business Name | DENNIS R. HOLMES, MD, INC
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Dates
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Enumeration Date | 05/15/2011
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 1513 S GRAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90015-3021
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Country | US
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Telephone | 213-742-5784
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Fax | 213-742-6055
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Provider Business Mailing Address
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Address Line | 5670 WILSHIRE BLVD STE 1740
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City | LOS ANGELES
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State | CA
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Zip | 90036-5656
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Country | US
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Telephone | 714-522-2001
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Fax | 714-522-7503
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS R HOLMES
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Credential | M.D.
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Telephone | 213-742-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A68940
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License Number State | CA
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