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General NPI Number Information
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NPI Number | 1417115270
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Entity Type | Organization
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Legal Business Name | HARRY T HOLMES
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 4350 S OLD US HWY 23
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City | BRIGHTON
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State | MI
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Zip | 48114-8604
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Country | US
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Telephone | 810-229-6390
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Fax | 810-229-9046
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Provider Business Mailing Address
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Address Line | 4350 S OLD US HWY 23
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City | BRIGHTON
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State | MI
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Zip | 48114-8604
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Country | US
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Telephone | 810-229-6390
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Fax | 810-229-9046
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. HARRY THOMAS HOLMES
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Credential | DC
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Telephone | 810-229-6390
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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 | 2301003069
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License Number State | MI
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