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General NPI Number Information
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NPI Number | 1427026319
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Entity Type | Individual
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Provider Name | EDWARD JOHN HOLUBOWITCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 400 W CAMINO CASA VERDE #100
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-3564
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Country | US
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Telephone | 520-625-1760
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Fax | 520-648-1394
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Provider Business Mailing Address
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Address Line | 2202 N FORBES BLVD
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City | TUCSON
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State | AZ
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Zip | 85745-1412
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Country | US
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Telephone | 520-872-7536
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Fax | 520-872-7929
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101036227
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45484
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License Number State | AZ
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