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General NPI Number Information
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NPI Number | 1447123955
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Entity Type | Individual
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Provider Name | MONICA NASSERI HOLT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1818 RICHARDSON DR STE F
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City | REIDSVILLE
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State | NC
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Zip | 27320-5450
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Country | US
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Telephone | 336-951-6164
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Fax | 336-951-6171
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Provider Business Mailing Address
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Address Line | 1818 RICHARDSON DR STE F
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City | REIDSVILLE
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State | NC
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Zip | 27320-5450
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Country | US
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Telephone | 336-951-6164
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Fax | 336-951-6171
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 5023202
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5023202
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License Number State | NC
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