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General NPI Number Information
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NPI Number | 1568466381
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Entity Type | Individual
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Provider Name | VICTOR A HOLMES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1541 N CHINA LAKE BLVD
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City | RIDGECREST
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State | CA
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Zip | 93555-2606
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Country | US
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Telephone | 760-446-3800
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Fax | 760-446-3899
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Provider Business Mailing Address
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Address Line | 133 W MOJAVE ROSE AVE
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City | RIDGECREST
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State | CA
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Zip | 93555-7704
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Country | US
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Telephone | 760-446-3800
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Fax | 760-446-3899
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G69242
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License Number State | CA
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