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General NPI Number Information
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NPI Number | 1457797797
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Entity Type | Individual
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Provider Name | PAIGE A. HOLMES ANP-C
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Gender | Female
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 7720 EL PASTEL DR
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City | DALLAS
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State | TX
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Zip | 75248-3121
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Country | US
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Telephone | 214-412-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 5461 LA SIERRA DR
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City | DALLAS
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State | TX
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Zip | 75231-4107
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Country | US
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Telephone | 214-692-8541
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Fax | 214-242-1035
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP123361
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License Number State | TX
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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 | 774827
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License Number State | TX
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