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General NPI Number Information
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NPI Number | 1467431650
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Entity Type | Individual
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Provider Name | TANYA K HOLT D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 163 HEBER SPRINGS RD
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City | SOUTHSIDE
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State | AR
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Zip | 72501-8031
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Country | US
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Telephone | 870-251-2560
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Fax | 870-251-3809
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Provider Business Mailing Address
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Address Line | 163 HEBER SPRINGS RD
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City | SOUTHSIDE
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State | AR
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Zip | 72501-8031
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Country | US
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Telephone | 870-251-2560
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Fax | 870-251-3809
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1308
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License Number State | AR
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