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General NPI Number Information
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NPI Number | 1629382213
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Entity Type | Individual
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Provider Name | AMIE ELIZABETH HOLMES M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 275 W. HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93612
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Country | US
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Telephone | 559-324-3833
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Fax | 559-324-3834
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Provider Business Mailing Address
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Address Line | P.O. BOX 28946
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City | FRESNO
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State | CA
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Zip | 93729
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Country | US
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Telephone | 559-228-4425
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Fax | 559-228-4424
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A129969
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License Number State | CA
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