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General NPI Number Information
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NPI Number | 1528858347
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Entity Type | Individual
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Provider Name | TRAVIS HOLT LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1750 ARCADIA RD
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City | HOLIDAY
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State | FL
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Zip | 34690-6052
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Country | US
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Telephone | 727-939-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 TOTTENHAM DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-4803
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Country | US
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Telephone | 802-379-2148
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW23183
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License Number State | FL
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