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General NPI Number Information
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NPI Number | 1578426102
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Entity Type | Individual
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Provider Name | MRS. TERESA MARAMAN HOLMES
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 636 2ND AVE
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City | ROCHELLE
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State | GA
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Zip | 31079-2046
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Country | US
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Telephone | 229-365-2570
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Fax |
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Provider Business Mailing Address
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Address Line | 374 BEMBRY RD
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-5238
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Country | US
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Telephone | 478-636-3609
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN294959
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License Number State | GA
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