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General NPI Number Information
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NPI Number | 1538652094
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Entity Type | Individual
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Provider Name | KELLY ANN BARKER HOLMES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2018
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Last Update Date | 06/10/2018
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Provider Practice Location Address
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Address Line | 2975 WESTCHESTER AVE STE 308
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City | PURCHASE
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State | NY
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Zip | 10577-2580
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Country | US
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Telephone | 914-358-9927
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Fax |
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Provider Business Mailing Address
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Address Line | 19 WINDY KNLS
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City | GREENWICH
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State | CT
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Zip | 06831-5116
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Country | US
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Telephone | 914-318-9382
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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