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General NPI Number Information
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NPI Number | 1588483481
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Entity Type | Organization
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Legal Business Name | HOLT CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1016 BURKE ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2413
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Country | US
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Telephone | 336-281-2161
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Fax | 336-499-4153
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Provider Business Mailing Address
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Address Line | 1016 BURKE ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2413
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Country | US
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Telephone | 336-281-2161
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Fax | 336-499-4153
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | NICOLE HOLT
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Credential | DC
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Telephone | 404-226-5833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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