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General NPI Number Information
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NPI Number | 1427612100
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALING PARTNERS, LLC
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Dates
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Enumeration Date | 04/28/2019
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 290 BAXTER LN
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City | MILFORD
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State | CT
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Zip | 06460-6813
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Country | US
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Telephone | 203-701-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 290 BAXTER LN
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City | MILFORD
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State | CT
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Zip | 06460-6813
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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 | OWNER, NURSE PRACTITIONER
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Name | DR. COURTNEY DANIELLE HOLMES
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Credential | DNP, APRN
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Telephone | 203-701-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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