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General NPI Number Information
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NPI Number | 1477603090
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Entity Type | Individual
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Provider Name | DAVID H HOLT JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 800 N FANT ST
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City | ANDERSON
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State | SC
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Zip | 29621-5708
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Country | US
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Telephone | 864-226-0511
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Fax | 864-231-7018
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Provider Business Mailing Address
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Address Line | 211 S MAIN ST
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City | ANDERSON
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State | SC
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Zip | 29624-1620
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Country | US
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Telephone | 864-226-0511
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Fax | 864-231-7018
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 13755
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License Number State | SC
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