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General NPI Number Information
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NPI Number | 1548376049
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Entity Type | Individual
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Provider Name | ANITA V. HOLE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1601 WALNUT ST SUITE 1107
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2944
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Country | US
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Telephone | 215-564-5364
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Fax |
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Provider Business Mailing Address
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Address Line | 128 EDGEWOOD RD
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City | ARDMORE
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State | PA
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Zip | 19003-2508
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Country | US
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Telephone | 610-649-1623
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PS002908L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS002908L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS002908L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PS002908L
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License Number State | PA
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