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General NPI Number Information
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NPI Number | 1568570174
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Entity Type | Organization
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Legal Business Name | JUDY F. HOLMES LPT
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 8226 DOUGLAS SUITE 435
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City | DALLAS
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State | TX
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Zip | 75225-5943
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Country | US
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Telephone | 214-368-3511
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Fax | 214-368-1810
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Provider Business Mailing Address
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Address Line | 8226 DOUGLAS SUITE 435
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City | DALLAS
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State | TX
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Zip | 75225-5943
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Country | US
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Telephone | 214-368-3511
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Fax | 214-368-1810
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Authorized Official
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Title or Position | OWNER
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Name | JUDY F HOLMES
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Credential |
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Telephone | 214-368-3511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1016947
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License Number State | TX
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