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NPI 1487687935

NPI 1487687935 : DEBORAH A.K HOLTE DPM : KIRKSVILLE, MO

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General NPI Number Information
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    NPI Number           |    1487687935
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH A.K HOLTE DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/08/2006
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    1405 CROWN DR 
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    City                 |    KIRKSVILLE
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    State                |    MO
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    Zip                  |    63501-2570
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    Country              |    US
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    Telephone            |    660-665-9000
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    Fax                  |    660-665-8445
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1239 
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    City                 |    HANNIBAL
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    State                |    MO
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    Zip                  |    63401-1239
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    Country              |    US
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    Telephone            |    573-406-5930
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    Fax                  |    573-248-5448
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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        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    000684
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    000684
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    000684
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    License Number State |    MO
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