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General NPI Number Information
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NPI Number | 1437268257
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Entity Type | Individual
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Provider Name | RONALD NELSON HOLMAN MFT, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 27201 TOURNEY RD # 200
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City | VALENCIA
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State | CA
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Zip | 91355-1854
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Country | US
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Telephone | 818-704-1444
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Fax | 818-704-9339
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Provider Business Mailing Address
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Address Line | PO BOX 8011
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City | CANOGA PARK
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State | CA
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Zip | 91309-8011
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Country | US
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Telephone | 818-704-1444
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Fax | 818-704-9339
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 18919
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License Number State | CA
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