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General NPI Number Information
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NPI Number | 1568828275
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Entity Type | Individual
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Provider Name | KELLY HOLZ MD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 23625 HOLMAN HWY
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City | MONTEREY
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State | CA
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Zip | 93940-5902
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Country | US
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Telephone | 831-624-5311
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5103
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A191421
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | HS000239L
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License Number State | PA
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