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General NPI Number Information
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NPI Number | 1548260227
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Entity Type | Individual
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Provider Name | GINA DOREEN HOLMES PA
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 3419 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 888-244-6493
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Fax | 707-226-3143
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Provider Business Mailing Address
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Address Line | 3419 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 888-244-6493
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Fax | 707-226-3143
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA07912
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA21749
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1173023
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License Number State | WI
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