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General NPI Number Information
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NPI Number | 1588001556
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Entity Type | Individual
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Provider Name | MARY BRANTLEY HOLMES WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 5311 PATTERSON AVE STE A
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City | RICHMOND
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State | VA
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Zip | 23226-2041
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Country | US
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Telephone | 804-916-5096
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Fax | 804-800-2118
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Provider Business Mailing Address
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Address Line | 5311 PATTERSON AVE STE A
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City | RICHMOND
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State | VA
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Zip | 23226-2041
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Country | US
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Telephone | 804-916-5096
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Fax | 804-800-2118
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024164678
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License Number State | VA
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