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General NPI Number Information
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NPI Number | 1518488071
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Entity Type | Individual
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Provider Name | CARRIE LYNNE HOLT DNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 1412 MAIN STREET
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City | HAWLEY
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State | MN
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Zip | 56549
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Country | US
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Telephone | 218-483-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 226 6TH AVE W
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City | SABIN
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State | MN
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Zip | 56580-4152
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Country | US
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Telephone | 218-371-5873
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5234
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License Number State | MN
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