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General NPI Number Information
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NPI Number | 1497288211
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Entity Type | Individual
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Provider Name | HOLLY KENDRA ND
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Gender | Female
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Dates
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Enumeration Date | 04/08/2017
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 200 HOLTON RD STE D
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City | NORTH MUSKEGON
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State | MI
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Zip | 49445-3349
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Country | US
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Telephone | 231-493-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 805 LYNCOTT ST
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City | NORTH MUSKEGON
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State | MI
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Zip | 49445-2838
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Country | US
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Telephone | 231-493-1165
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60740884
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License Number State | WA
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