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General NPI Number Information
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NPI Number | 1699081950
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Entity Type | Organization
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Legal Business Name | HOLCOMB ASSOCIATES INC.
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 2400 W 4TH ST
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City | WILMINGTON
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State | DE
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Zip | 19805-3306
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Country | US
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Telephone | 302-645-1816
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Fax | 302-654-4130
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Provider Business Mailing Address
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Address Line | 467 CREAMERY WAY
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City | EXTON
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State | PA
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Zip | 19341-2508
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Country | US
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Telephone | 610-363-1488
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Fax | 610-363-7273
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TERESA JACKSON
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Credential |
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Telephone | 610-363-1488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | DE
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