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General NPI Number Information
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NPI Number | 1689723868
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Entity Type | Individual
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Provider Name | TIMOTHY A. HOLT M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2065 E SOUTH BLVD STE 204
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City | MONTGOMERY
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State | AL
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Zip | 36116-2460
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Country | US
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Telephone | 334-747-7300
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Fax | 334-747-7320
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Provider Business Mailing Address
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Address Line | 301 BROWN SPRINGS RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-7005
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Country | US
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Telephone |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 17514
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License Number State | AL
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