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General NPI Number Information
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NPI Number | 1386858074
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Entity Type | Individual
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Provider Name | WOODROW C. L. HOLMES D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 741 THIMBLE SHOALS BLVD SUITE 308
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3560
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Country | US
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Telephone | 757-873-1701
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Fax | 757-873-3870
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Provider Business Mailing Address
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Address Line | 51 W GOVERNOR DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-7443
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Country | US
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Telephone | 404-840-7112
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008117
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556499
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License Number State | VA
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