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General NPI Number Information
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NPI Number | 1699757641
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Entity Type | Individual
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Provider Name | JOSEF EDWARD HOLME MD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 4715 S LAMAR BLVD STE 100
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City | SUNSET VALLEY
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State | TX
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Zip | 78745-1308
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Country | US
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Telephone | 512-442-1996
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Fax | 512-441-1093
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Provider Business Mailing Address
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Address Line | 4715 S LAMAR BLVD STE 100
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City | SUNSET VALLEY
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State | TX
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Zip | 78745-1308
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Country | US
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Telephone | 512-442-1996
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Fax | 512-441-1093
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K2041
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License Number State | TX
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