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General NPI Number Information
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NPI Number | 1396667010
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Entity Type | Individual
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Provider Name | ELEANOR HOLT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 6419 S FLORIDA AVE STE D
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City | LAKELAND
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State | FL
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Zip | 33813-3352
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Country | US
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Telephone | 863-210-5002
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BLUE HERON LN
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City | CUMBERLAND FORESIDE
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State | ME
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Zip | 04110-1102
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State | FL
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