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General NPI Number Information
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NPI Number | 1639711716
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Entity Type | Individual
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Provider Name | CHRISTOPHER HOLCOMB APRN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 3901 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4312
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Country | US
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Telephone | 904-470-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4312
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Country | US
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Telephone | 904-470-6900
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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 | 9559520
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN668868
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP021125
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11012435
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11012435
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License Number State | FL
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