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General NPI Number Information
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NPI Number | 1447340237
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Entity Type | Individual
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Provider Name | ALVIN DENNIS HOLCOMB M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 100 W FARM DR
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City | MELVILLE
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State | NY
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Zip | 11747-4155
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Country | US
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Telephone | 631-491-4982
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Fax |
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Provider Business Mailing Address
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Address Line | 56 RICHARD AVE
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City | ISLIP TERRACE
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State | NY
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Zip | 11752-2730
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Country | US
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Telephone | 631-277-1501
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Fax | 631-277-2798
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 191835
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License Number State | NY
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