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General NPI Number Information
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NPI Number | 1487044434
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Entity Type | Individual
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Provider Name | KATHERINE PRESCOTT HOLDEN MD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | VASSAR STUDENT HEALTH SERVICES BOX 017 VASSAR COLLEGE, 124 RAYMOND AVE.
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City | POUGHKEEPSIE
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State | NY
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Zip | 12604-0002
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Country | US
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Telephone | 845-437-5800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1749
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City | SHARON
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State | CT
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Zip | 06069-1749
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Country | US
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Telephone | 860-480-3700
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Fax |
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 156378-1
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License Number State | NY
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