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General NPI Number Information
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NPI Number | 1528067634
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Entity Type | Individual
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Provider Name | CAROLYN B HOLENCIK CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 4300 LONDONDERRY RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5317
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Country | US
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Telephone | 717-782-5118
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Fax | 717-782-5854
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Provider Business Mailing Address
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Address Line | 4300 LONDONDERRY RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5317
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Country | US
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Telephone | 717-782-5118
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Fax | 717-782-5854
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 040159
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN258898L
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License Number State | PA
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