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General NPI Number Information
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NPI Number | 1447301312
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Entity Type | Organization
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Legal Business Name | HOLMAN HEART CLINIC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 S 8TH ST STE 505 EAST
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 270-753-3022
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Fax | 270-767-3622
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Provider Business Mailing Address
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Address Line | 300 S 8TH ST STE 505 EAST
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 270-753-3022
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Fax | 270-767-3622
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM ADDISON HOLMAN
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Credential | MD
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Telephone | 270-753-3022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 14800
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License Number State | KY
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