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General NPI Number Information
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NPI Number | 1487911939
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Entity Type | Organization
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Legal Business Name | HOLMAN CLINIC PA
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 14 W JORDAN ST SUITE 1J
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City | PENSACOLA
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State | FL
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Zip | 32501-1736
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Country | US
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Telephone | 850-432-9023
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Fax | 850-432-4814
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Provider Business Mailing Address
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Address Line | 14 W JORDAN ST SUITE 1J
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City | PENSACOLA
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State | FL
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Zip | 32501-1736
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Country | US
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Telephone | 850-432-9023
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Fax | 850-432-4814
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NORMAN W HOLMAN JR.
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Credential | MD
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Telephone | 850-432-9023
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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 | ME058640
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License Number State | FL
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