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General NPI Number Information
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NPI Number | 1497260889
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Entity Type | Organization
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Legal Business Name | HOLTVILLE FAMILY PRACTICE
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 8502 HOLTVILLE RD
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City | WETUMPKA
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State | AL
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Zip | 36092-7664
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Country | US
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Telephone | 334-399-9176
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Fax |
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Provider Business Mailing Address
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Address Line | 8502 HOLTVILLE RD
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City | WETUMPKA
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State | AL
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Zip | 36092-7664
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CRNP
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Name | MRS. CAREY WILLIAMS
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Credential | CRNP
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Telephone | 334-399-9176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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