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General NPI Number Information
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NPI Number | 1417188780
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Entity Type | Organization
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Legal Business Name | ALAN L HOLTON OB GYN, PLLC
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 08/04/2009
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Provider Practice Location Address
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Address Line | 3909 SUNSET RIDGE RD SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27607-6668
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Country | US
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Telephone | 919-787-7085
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Fax | 919-787-7086
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Provider Business Mailing Address
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Address Line | 3909 SUNSET RIDGE RD SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27607-6668
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Country | US
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Telephone | 919-787-7085
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Fax | 919-787-7086
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Authorized Official
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Title or Position | OWNER
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Name | ALAN L HOLTON
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Credential | M.D.
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Telephone | 919-787-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35664
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License Number State | NC
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