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General NPI Number Information
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NPI Number | 1407159544
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Entity Type | Individual
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Provider Name | TIMOTHY LYNN HOLCOMB D.C., FNP
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Gender | Male
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 2601 N AZALEA ST SUITE 31
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City | VICTORIA
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State | TX
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Zip | 77901-4146
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Country | US
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Telephone | 361-485-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 N AZALEA ST SUITE 31
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City | VICTORIA
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State | TX
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Zip | 77901-4146
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Country | US
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Telephone | 361-485-0449
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Fax | 361-485-0400
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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 | 10365
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License Number State | TX
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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 | 5853
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1660
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130832
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License Number State | TX
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